Deficiency Records for Mission Point Nursing and Physical Rehab Ctr Ch
Updated as of February 01, 2019
This is not the most recent data for Mission Point Nursing and Physical Rehab Ctr Ch. For the most recent information, click here.
A list of the most recent deficiencies for Mission Point Nursing and Physical Rehab Ctr Ch. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-08-17 | 2018-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-17 | 2018-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-17 | 2018-09-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-17 | 2018-09-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-17 | 2018-09-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-17 | 2018-09-20 | N |
| Be properly staffed | Fire Safety | 2018-08-17 | 2018-09-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-17 | 2018-09-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-17 | 2018-09-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-09 | 2018-09-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-09 | 2018-09-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-09 | 2018-09-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-09 | 2018-09-20 | N |
| Provide appropriate foot care. | Health | 2018-08-09 | 2018-09-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-09 | 2018-09-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-08-09 | 2018-09-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-09 | 2018-09-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-09 | 2018-09-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-09 | 2018-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-09 | 2018-09-20 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2018-08-09 | 2018-09-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-08-09 | 2018-09-20 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-08-09 | 2018-09-20 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-09 | 2018-09-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-09 | 2018-09-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-09 | 2018-09-20 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-09-05 | 2017-10-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-09-05 | 2017-10-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-09-05 | 2017-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-05 | 2017-10-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-05 | 2017-10-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-09-05 | 2017-10-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-09-05 | 2017-10-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-09-05 | 2017-10-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-09-05 | 2017-10-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-08 | 2017-10-20 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-08 | 2017-10-20 | N |
| Keep all essential equipment working safely. | Health | 2017-09-08 | 2017-10-20 | N |
