Deficiency Records for Mission Convalescent Home

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Updated as of March 01, 2024

A list of the most recent deficiencies for Mission Convalescent 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-11-09 2023-12-14 N
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2023-11-09 2023-12-14 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-11-09 2023-12-14 N
Ensure a qualified health professional conducts resident assessments. Health 2023-11-09 2023-12-14 N
Honor each resident's preferences, choices, values and beliefs. Health 2023-11-09 2023-12-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-09 2023-12-14 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 2023-11-09 2023-12-14 N
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 2023-11-09 2023-12-14 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 2023-11-09 2023-12-14 N
Provide and implement an infection prevention and control program. Health 2023-11-09 2023-12-14 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-11-09 2023-12-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-06 2023-12-14 N
Create arrangements with other facilities to receive patients. Fire Safety 2023-11-06 2023-12-13 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-06 2023-12-13 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-11-06 2023-12-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-11-06 2023-12-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-11-06 2023-12-11 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-11-06 2023-12-01 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-11-06 2023-12-01 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-11-06 2023-11-15 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2023-11-06 2023-11-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-16 2021-12-31 N
Provide and implement an infection prevention and control program. Health 2021-12-16 2021-12-31 N
Have restrictions on the use of portable space heaters. Fire Safety 2021-12-13 2021-12-31 N
Have proper medical gas storage and administration areas. Fire Safety 2021-12-13 2021-12-31 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-12-13 2021-12-17 N
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 2019-09-17 2019-10-21 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 2019-09-17 2019-10-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-15 2019-10-11 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-09-17 2019-09-30 N