Deficiency Records for Mystic Meadows Rehab and Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Mystic Meadows Rehab and Nursing Center. 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? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2022-11-02 | 2022-12-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-11-02 | 2022-12-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-02 | 2022-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-02 | 2022-12-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-02 | 2022-11-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-02 | 2022-11-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-11-02 | 2022-11-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-02 | 2022-11-28 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-11-02 | 2022-11-23 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-03-12 | 2020-05-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-12 | 2020-05-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-12 | 2020-05-18 | 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 | 2020-03-12 | 2020-05-18 | 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 | 2020-03-12 | 2020-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-12 | 2020-05-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-04 | 2019-05-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-04 | 2019-05-15 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-04-04 | 2019-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-04 | 2019-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-04 | 2019-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-04 | 2019-05-15 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-04-04 | 2019-05-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-04-04 | 2019-05-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-04 | 2019-05-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-04 | 2019-05-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-04-04 | 2019-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-04 | 2019-05-15 | N |
