A list of the most recent deficiencies for Pontiac Nursing Home. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-22 | 2022-01-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-22 | 2022-01-25 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-13 | 2021-12-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-14 | 2021-12-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-14 | 2021-12-01 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-10-14 | 2021-12-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-14 | 2021-12-01 | 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 | 2021-10-14 | 2021-12-01 | 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 | 2021-10-14 | 2021-12-01 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-10-13 | 2021-11-18 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-10-13 | 2021-11-18 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-10-13 | 2021-11-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-04-21 | 2021-06-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-21 | 2021-06-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-04-22 | 2021-06-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-04-22 | 2021-06-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-22 | 2021-06-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-22 | 2021-06-09 | 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 | 2021-04-22 | 2021-06-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-22 | 2021-06-09 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-04-21 | 2021-06-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-21 | 2021-06-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-21 | 2021-06-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-02 | 2019-05-26 | 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 | 2019-04-02 | 2019-05-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-02 | 2019-05-26 | 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 | 2019-04-02 | 2019-05-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-02 | 2019-05-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-04-02 | 2019-05-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-02 | 2019-05-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-02 | 2019-05-26 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-04-02 | 2019-05-26 | 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 | 2019-04-02 | 2019-05-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-02 | 2019-05-26 | 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 | 2019-04-02 | 2019-05-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-02 | 2019-05-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-01 | 2019-05-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-01 | 2019-05-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-01 | 2019-05-20 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-04-01 | Not Fixed | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-04-01 | Not Fixed | N |
