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Deficiency Records for Mission Pines Nursing and Rehab Center
View the most recent health deficiencies and inspection results for Mission Pines Nursing and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mission Pines Nursing and Rehab Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2025-11-07 | 2025-12-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-11-07 | 2025-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-11-07 | 2025-12-05 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-11-07 | 2025-12-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-11-07 | 2025-12-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-11-07 | 2025-12-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-11-07 | 2025-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-07 | 2025-12-05 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-11-07 | 2025-12-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-11-07 | 2025-12-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-11-07 | 2025-12-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-11-07 | 2025-12-05 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2025-11-07 | 2025-12-05 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2025-11-07 | 2025-12-05 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-11-07 | 2025-12-03 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-11-08 | 2024-12-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-11-08 | 2024-12-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-08 | 2024-12-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-11-08 | 2024-12-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-11-08 | 2024-12-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-11-08 | 2024-12-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-11-08 | 2024-12-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-11-08 | 2024-12-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-08 | 2024-12-02 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-11-08 | 2024-12-02 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-11-08 | 2024-12-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-08 | 2024-12-02 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-11-08 | 2024-12-02 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-11-08 | 2024-11-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-08 | 2024-11-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-11-08 | 2024-11-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-10-13 | 2023-11-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-13 | 2023-11-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-13 | 2023-11-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-13 | 2023-11-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-13 | 2023-11-03 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-10-13 | 2023-11-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-13 | 2023-11-03 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-10-13 | 2023-11-03 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-10-13 | 2023-11-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-13 | 2023-11-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-13 | 2023-11-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-10-13 | 2023-11-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-13 | 2023-11-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-13 | 2023-11-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-13 | 2023-11-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-13 | 2023-11-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-13 | 2023-11-03 | N |
| Meet other general requirements. | Fire Safety | 2023-10-13 | 2023-11-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-10-13 | 2023-11-03 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-10-13 | 2023-11-02 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2023-10-13 | 2023-11-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-13 | 2023-11-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-13 | 2023-10-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-13 | 2023-10-17 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-07-19 | 2023-08-04 | Y |