A list of the most recent deficiencies for Mason Health Care 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-01 | 2023-08-12 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-06-01 | 2023-08-12 | 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 | 2023-06-01 | 2023-08-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-01 | 2023-08-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-01 | 2023-08-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-01 | 2023-08-12 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-06-01 | 2023-08-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-06-01 | 2023-08-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-01 | 2023-08-12 | 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 | 2023-06-01 | 2023-08-12 | 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 | 2023-06-01 | 2023-08-12 | N |
| Provide or obtain dental services for each resident. | Health | 2023-06-01 | 2023-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-01 | 2023-08-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-06-01 | 2023-08-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-31 | 2023-08-12 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-05-31 | 2023-08-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-31 | 2023-08-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-31 | 2023-08-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-31 | 2023-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-31 | 2023-08-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-05-31 | 2023-08-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-31 | 2023-08-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-21 | 2022-06-03 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-08 | 2022-06-03 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-22 | 2021-12-06 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-10-22 | 2021-12-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-22 | 2021-12-06 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-22 | 2021-12-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-22 | 2021-12-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-17 | 2021-07-23 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-09-04 | 2019-10-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-04 | 2019-10-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-04 | 2019-10-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-04 | 2019-10-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-04 | 2019-10-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-04 | 2019-10-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-30 | 2018-10-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-07-30 | 2018-10-24 | N |
