A list of the most recent deficiencies for Mcnaughten Pointe Nursing and Rehab. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-07 | 2023-04-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-07 | 2023-04-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-14 | 2022-11-25 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-14 | 2022-11-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-27 | 2022-11-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-26 | 2022-06-03 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-30 | 2022-04-20 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-03-30 | 2022-04-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-03-30 | 2022-04-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-30 | 2022-04-20 | N |
| Provide activities to meet all resident's needs. | Health | 2022-03-30 | 2022-04-20 | 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 | 2022-03-30 | 2022-04-20 | 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 | 2022-03-30 | 2022-04-20 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-03-30 | 2022-04-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-30 | 2022-04-20 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-03-30 | 2022-04-20 | 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 | 2022-03-30 | 2022-04-20 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-03-30 | 2022-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-30 | 2022-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-30 | 2022-04-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-03-30 | 2022-04-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-03-21 | 2022-04-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-21 | 2022-04-20 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2019-06-06 | 2019-06-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-06 | 2019-06-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-06 | 2019-06-10 | 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 | 2019-06-06 | 2019-06-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-06 | 2019-06-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-04 | 2019-06-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-04 | 2019-06-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-23 | 2018-06-22 | 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 | 2018-05-23 | 2018-06-22 | 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 | 2018-05-23 | 2018-06-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-23 | 2018-06-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-22 | 2018-06-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-05-22 | 2018-06-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-05-22 | 2018-06-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-05-22 | 2018-06-22 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2018-05-22 | 2018-06-22 | N |
