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Deficiency Records for Mount Miguel Covenant Village
View the most recent health deficiencies and inspection results for Mount Miguel Covenant Village. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mount Miguel Covenant Village. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-29 | 2025-09-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-08-07 | 2025-09-03 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-08-07 | 2025-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-07 | 2025-09-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-08-07 | 2025-09-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-07 | 2025-09-03 | 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 | 2025-08-07 | 2025-09-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-07 | 2025-09-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-07 | 2025-09-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-07 | 2025-09-03 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2025-08-07 | 2025-09-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-07 | 2025-09-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-08-07 | 2025-09-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-08-07 | 2025-09-02 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-12-18 | 2025-01-03 | 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 | 2024-09-05 | 2024-09-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-20 | 2024-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-20 | 2024-07-20 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-06-20 | 2024-07-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-20 | 2024-07-20 | N |
| Meet other general requirements. | Fire Safety | 2024-06-20 | 2024-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-20 | 2024-07-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-21 | 2024-03-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-27 | 2024-01-17 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-12-27 | 2024-01-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-27 | 2023-11-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-11 | 2023-09-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-05 | 2023-06-30 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-05-11 | 2023-06-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-11 | 2023-06-02 | 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 | 2023-05-11 | 2023-06-02 | 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 | 2023-05-11 | 2023-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-11 | 2023-06-02 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-05-11 | 2023-06-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-11 | 2023-06-02 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-05-11 | 2023-05-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-11 | 2023-05-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-11 | 2023-05-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-11 | 2023-05-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-11 | 2023-05-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-11 | 2023-05-24 | N |