Deficiency Records for Midlands Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Midlands Health and Rehabilitation 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-28 | 2022-12-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-26 | 2022-10-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-26 | 2022-10-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-28 | 2022-10-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-28 | 2022-10-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-28 | 2022-10-14 | 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 | 2022-09-28 | 2022-10-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-28 | 2022-10-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-28 | 2022-10-14 | 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 | 2022-09-28 | 2022-10-14 | N |
| 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 | 2022-04-05 | 2022-04-29 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-04-05 | 2022-04-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-06 | 2022-01-05 | Y |
| 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 | 2021-07-27 | 2021-08-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-07-27 | 2021-08-23 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-07-27 | 2021-08-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-27 | 2021-08-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-27 | 2021-08-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-27 | 2021-08-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-27 | 2021-08-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-27 | 2021-08-23 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-29 | 2021-08-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-01 | 2021-06-21 | Y |
| 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 | 2021-06-01 | 2021-06-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-25 | 2021-04-12 | 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 | 2021-03-25 | 2021-04-12 | Y |
| 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 | 2021-01-07 | 2021-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-07 | 2021-01-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-01-07 | 2021-01-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-01-07 | 2021-01-17 | N |
