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Deficiency Records for Northern Lights Hcc
View the most recent health deficiencies and inspection results for Northern Lights Hcc. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Northern Lights Hcc. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2025-11-12 | 2025-12-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-11-12 | 2025-12-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-12 | 2025-12-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-12 | 2025-12-10 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2025-07-30 | 2025-09-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-07-30 | 2025-09-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-30 | 2025-09-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-07-30 | 2025-09-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-07-30 | 2025-09-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-07-30 | 2025-09-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-07-30 | 2025-09-11 | N |
| 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 | 2025-07-30 | 2025-09-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-07-30 | 2025-09-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-07-30 | 2025-09-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-07-30 | 2025-09-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-30 | 2025-08-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-30 | 2025-08-25 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-07-30 | 2025-08-25 | 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 | 2025-07-30 | 2025-08-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-07-30 | 2025-08-25 | 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 | 2025-07-30 | 2025-08-25 | 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 | 2025-07-30 | 2025-08-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-07-30 | 2025-08-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-30 | 2025-08-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-30 | 2025-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-29 | 2025-02-12 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-22 | 2024-06-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-05-22 | 2024-06-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-05-22 | 2024-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-22 | 2024-06-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-05-22 | 2024-06-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-22 | 2024-06-21 | 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 | 2024-05-22 | 2024-06-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-22 | 2024-06-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-22 | 2024-06-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-22 | 2024-06-17 | 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 | 2024-05-22 | 2024-06-17 | 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 | 2024-05-22 | 2024-06-17 | 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 | 2024-05-22 | 2024-06-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-22 | 2024-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-22 | 2024-06-17 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-05-22 | 2024-04-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-10 | 2023-06-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-10 | 2023-06-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-10 | 2023-06-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-10 | 2023-06-19 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-05-10 | 2023-06-19 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-10 | 2023-06-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-05-10 | 2023-06-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-10 | 2023-06-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-10 | 2023-06-09 | 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 | 2023-05-10 | 2023-06-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-10 | 2023-06-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-10 | 2023-06-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-10 | 2023-06-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-10 | 2023-06-09 | Y |