Deficiency Records for Mira Vista Care Center
Updated as of September 01, 2021
This is not the most recent data for Mira Vista Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Mira Vista 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 and implement an infection prevention and control program. | Health | 2021-07-15 | 2021-08-02 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-07-15 | 2021-07-30 | Y |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-06-14 | 2021-06-21 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-12-22 | 2020-12-30 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-08-05 | 2020-08-20 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-24 | 2020-03-17 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-24 | 2020-03-17 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-01-24 | 2020-03-17 | 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 | 2020-01-24 | 2020-03-17 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-24 | 2020-03-17 | 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 | 2020-01-24 | 2020-03-17 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-01-24 | 2020-03-17 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-24 | 2020-03-17 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-24 | 2020-03-17 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-24 | 2020-03-17 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-01-24 | 2020-03-17 | N |
Ensure each resident receives an accurate assessment. | Health | 2020-01-24 | 2020-03-17 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-24 | 2020-03-17 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-24 | 2020-03-17 | N |
Provide activities to meet all resident's needs. | Health | 2020-01-24 | 2020-03-17 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2020-01-24 | 2020-03-17 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-24 | 2020-03-17 | 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 | 2020-01-24 | 2020-03-17 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-24 | 2020-03-17 | N |
Post nurse staffing information every day. | Health | 2020-01-24 | 2020-03-17 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-01-24 | 2020-03-17 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-24 | 2020-03-17 | 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 | 2020-01-24 | 2020-03-17 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-24 | 2020-03-17 | 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 | 2020-01-24 | 2020-03-17 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-24 | 2020-03-17 | N |
Ensure that residents are free from significant medication errors. | Health | 2020-01-24 | 2020-03-17 | N |
Provide or obtain dental services for each resident. | Health | 2020-01-24 | 2020-03-17 | N |
Provide and implement an infection prevention and control program. | Health | 2020-01-24 | 2020-03-17 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-01-24 | 2020-03-17 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-27 | 2020-03-17 | Y |
Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-08 | 2020-02-10 | N |
Provide properly protected cooking facilities. | Fire Safety | 2020-01-08 | 2020-02-10 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-08 | 2020-02-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-08 | 2020-02-10 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-08 | 2020-02-10 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-08 | 2020-02-10 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-01-08 | 2020-02-10 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-08 | 2020-02-10 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2020-01-08 | 2020-02-10 | N |
Respond appropriately to all alleged violations. | Health | 2019-11-25 | 2019-12-23 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-11-25 | 2019-12-23 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-25 | 2019-12-23 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-25 | 2019-12-23 | 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 | 2019-11-25 | 2019-12-23 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-25 | 2019-12-23 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-18 | 2019-08-09 | Y |
Provide appropriate foot care. | Health | 2019-07-18 | 2019-08-09 | Y |
Keep all essential equipment working safely. | Health | 2019-04-17 | 2019-04-26 | Y |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-10 | 2019-03-15 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-04 | 2019-03-15 | 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 | 2019-02-04 | 2019-03-15 | 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 | 2019-02-04 | 2019-03-15 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-04 | 2019-03-15 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-02-04 | 2019-03-15 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-02-04 | 2019-03-15 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-02-04 | 2019-03-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-04 | 2019-03-15 | 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 | 2019-02-04 | 2019-03-15 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-04 | 2019-03-15 | N |
Provide activities to meet all resident's needs. | Health | 2019-02-04 | 2019-03-15 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-04 | 2019-03-15 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-04 | 2019-03-15 | 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 | 2019-02-04 | 2019-03-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-04 | 2019-03-15 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-04 | 2019-03-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-04 | 2019-03-15 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-02-04 | 2019-03-15 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-02-04 | 2019-03-15 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-04 | 2019-03-15 | 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 | 2019-02-04 | 2019-03-15 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-04 | 2019-03-15 | 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 | 2019-02-04 | 2019-03-15 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-02-04 | 2019-03-15 | 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 | 2019-02-04 | 2019-03-15 | N |
Provide or obtain dental services for each resident. | Health | 2019-02-04 | 2019-03-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-04 | 2019-03-15 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-04 | 2019-03-15 | N |
Provide and implement an infection prevention and control program. | Health | 2019-02-04 | 2019-03-15 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-02-04 | 2019-03-15 | N |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-02-04 | 2019-03-15 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-12-27 | 2019-01-08 | Y |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-10-19 | 2018-11-02 | Y |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-05 | 2017-11-08 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2017-10-07 | 2017-11-03 | N |
Try to resolve each resident's complaints quickly. | Health | 2017-10-07 | 2017-11-03 | N |
Allow residents to self-administer drugs if determined safe. | Health | 2017-10-07 | 2017-11-03 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-07 | 2017-11-03 | N |
Give notice to the resident before a room or roommate change. | Health | 2017-10-07 | 2017-11-03 | N |
Provide housekeeping and maintenance services. | Health | 2017-10-07 | 2017-11-03 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-07 | 2017-11-03 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-07 | 2017-11-03 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-07 | 2017-11-03 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-10-07 | 2017-11-03 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-07 | 2017-11-03 | N |
Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-10-07 | 2017-11-03 | N |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-10-07 | 2017-11-03 | N |
Post nurse staffing information/data on a daily basis. | Health | 2017-10-07 | 2017-11-03 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-10-07 | 2017-11-03 | N |
Provide or obtain dental services for each resident. | Health | 2017-10-07 | 2017-11-03 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-10-07 | 2017-11-03 | N |