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Deficiency Records for Miracle Mile Healthcare Center, LLC
View the most recent health deficiencies and inspection results for Miracle Mile Healthcare Center, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Miracle Mile Healthcare Center, LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2026-04-16 | 2026-04-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-04-16 | 2026-04-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-08 | 2026-04-25 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2026-03-20 | 2026-04-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-03-20 | 2026-04-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-03-20 | 2026-04-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-03-20 | 2026-04-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-03-20 | 2026-04-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-20 | 2026-04-23 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2026-03-20 | 2026-04-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-03-20 | 2026-04-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-03-20 | 2026-04-23 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2026-03-20 | 2026-04-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-03-20 | 2026-04-23 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2026-03-20 | 2026-04-19 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2026-03-20 | 2026-04-19 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-03-20 | 2026-04-19 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2026-03-20 | 2026-04-19 | 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 | 2026-03-20 | 2026-04-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-20 | 2026-04-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-03-20 | 2026-04-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-20 | 2026-04-19 | 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 | 2026-03-20 | 2026-04-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2026-03-20 | 2026-04-19 | 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 | 2026-03-20 | 2026-04-19 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2026-03-20 | 2026-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-20 | 2026-04-19 | N |
| Dispose of garbage and refuse properly. | Health | 2026-03-20 | 2026-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-20 | 2026-04-19 | N |
| Keep all essential equipment working safely. | Health | 2026-03-20 | 2026-04-19 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2026-03-20 | 2026-04-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-02-03 | 2026-03-03 | 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 | 2026-02-03 | 2026-03-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-03 | 2026-03-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-03 | 2026-03-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-11 | 2026-01-07 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-11-17 | 2025-12-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-11-17 | 2025-12-12 | Y |
| 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 | 2025-09-16 | 2025-09-26 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-09-15 | 2025-09-26 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-06-05 | 2025-06-19 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-03-14 | 2025-04-10 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2025-03-14 | 2025-04-10 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2025-03-14 | 2025-04-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-14 | 2025-04-10 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-03-14 | 2025-04-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-05 | 2025-04-03 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-03-05 | 2025-04-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-27 | 2025-02-22 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-27 | 2025-02-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-05 | 2025-02-02 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-01-05 | 2025-02-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-05 | 2025-02-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-05 | 2025-02-02 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-01-05 | 2025-02-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-01-05 | 2025-02-02 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2025-01-05 | 2025-02-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-05 | 2025-02-02 | 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 | 2025-01-05 | 2025-02-02 | 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 | 2025-01-05 | 2025-02-02 | N |
| Provide enough space and equipment to meet each resident's needs | Health | 2025-01-05 | 2025-02-02 | N |
| Keep all essential equipment working safely. | Health | 2025-01-05 | 2025-02-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-05 | 2025-02-02 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-01-05 | 2025-02-02 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-01-05 | 2025-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-05 | 2025-01-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-05 | 2025-01-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-05 | 2025-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-01-05 | 2025-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-05 | 2025-01-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-01-05 | 2025-01-31 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-01-05 | 2025-01-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-01-05 | 2025-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-05 | 2025-01-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-01-05 | 2025-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-05 | 2025-01-31 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-01-05 | 2025-01-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-12-19 | 2025-01-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-12-20 | 2025-01-15 | 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 | 2024-11-14 | 2024-12-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-14 | 2024-12-14 | Y |
| 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 | 2024-11-14 | 2024-12-14 | 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 | 2024-10-30 | 2024-11-28 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-09-27 | 2024-10-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-27 | 2024-10-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-19 | 2024-10-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-01 | 2024-07-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-19 | 2024-07-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-20 | 2024-07-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-17 | 2024-06-13 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-05-17 | 2024-06-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-01 | 2024-05-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-01 | 2024-05-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-01 | 2024-05-30 | Y |
| 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 | 2024-05-01 | 2024-05-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-28 | 2024-04-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-28 | 2024-04-15 | 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 | 2024-02-29 | 2024-04-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-26 | 2024-04-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-08 | 2024-03-30 | Y |
| 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 | 2024-03-08 | 2024-03-30 | 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 | 2024-01-19 | 2024-02-11 | Y |
| 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 | 2024-01-19 | 2024-02-11 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-19 | 2024-02-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-10 | 2024-02-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-10 | 2024-02-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-22 | 2024-01-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-22 | 2024-01-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-20 | 2024-01-19 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-20 | 2024-01-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-14 | 2024-01-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-14 | 2024-01-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-14 | 2024-01-13 | 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 | 2023-12-14 | 2024-01-13 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-12-14 | 2024-01-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-14 | 2024-01-13 | 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 | 2023-12-14 | 2024-01-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-14 | 2024-01-13 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-12-14 | 2024-01-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-14 | 2024-01-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-14 | 2024-01-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-14 | 2024-01-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-14 | 2024-01-13 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-12-14 | 2024-01-13 | 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 | 2023-12-14 | 2024-01-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-14 | 2024-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-14 | 2024-01-13 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-11-16 | 2023-12-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-16 | 2023-12-08 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-10-26 | 2023-11-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-18 | 2023-10-11 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-06-21 | 2023-07-20 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-21 | 2023-07-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-21 | 2023-07-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-21 | 2023-07-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-09 | 2023-06-23 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2026-03-20 | Not Fixed | N |