A list of the most recent deficiencies for Mineral Springs. 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? |
|---|---|---|---|---|
| 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 | 2024-02-01 | 2024-02-28 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-08 | 2023-12-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-08 | 2023-12-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-08 | 2023-12-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-08 | 2023-11-09 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-09-12 | 2023-11-05 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-09-12 | 2023-11-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-12 | 2023-11-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-09-12 | 2023-11-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-12 | 2023-11-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-13 | 2023-11-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-09-13 | 2023-10-31 | 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 | 2023-09-13 | 2023-10-30 | 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 | 2023-09-13 | 2023-10-28 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-09-13 | 2023-10-26 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-09-13 | 2023-10-26 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-09-13 | 2023-10-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-13 | 2023-10-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-13 | 2023-10-24 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-09-13 | 2023-10-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-13 | 2023-10-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-09-13 | 2023-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-13 | 2023-10-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-13 | 2023-10-24 | N |
| Provide or obtain dental services for each resident. | Health | 2023-09-13 | 2023-10-24 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-09-13 | 2023-10-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-13 | 2023-10-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-13 | 2023-10-24 | N |
| Keep all essential equipment working safely. | Health | 2023-09-13 | 2023-10-24 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-09-15 | 2022-11-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-15 | 2022-11-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-09-15 | 2022-11-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-15 | 2022-11-04 | 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 | 2022-09-15 | 2022-11-04 | 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 | 2022-09-15 | 2022-11-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-09-15 | 2022-11-04 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-15 | 2022-11-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-15 | 2022-11-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-15 | 2022-10-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-09-15 | 2022-10-17 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-08-31 | 2021-10-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-31 | 2021-10-14 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-21 | 2021-09-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-07-21 | 2021-09-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-07-21 | 2021-09-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-21 | 2021-09-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-07-21 | 2021-09-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-07-21 | 2021-09-20 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-07-21 | 2021-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-21 | 2021-09-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-21 | 2021-09-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-21 | 2021-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-21 | 2021-09-20 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-07-21 | 2021-09-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-21 | 2021-09-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-22 | 2021-08-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-07-22 | 2021-08-25 | 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 | 2021-07-22 | 2021-08-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-07-22 | 2021-08-25 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2021-04-30 | 2021-06-03 | Y |
