Deficiency Records for North Point Healthcare and Wellness Centre LP
Updated as of April 01, 2024
A list of the most recent deficiencies for North Point Healthcare and Wellness Centre LP. 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? |
|---|---|---|---|---|
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-26 | 2024-02-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-26 | 2024-02-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-26 | 2024-02-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-26 | 2024-02-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-26 | 2024-02-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-26 | 2024-02-26 | 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 | 2024-01-26 | 2024-02-26 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-31 | 2024-02-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-01-31 | 2024-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-31 | 2024-02-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-31 | 2024-02-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-31 | 2024-02-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-31 | 2024-02-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-16 | 2023-06-30 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-06-20 | 2022-07-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-03 | 2022-03-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-03 | 2022-03-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-03 | 2022-03-03 | 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 | 2022-02-03 | 2022-03-03 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-02-03 | 2022-03-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-03 | 2022-03-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-03 | 2022-03-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-03 | 2022-03-03 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-03 | 2022-03-03 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-02-07 | 2022-02-22 | 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 | 2022-02-07 | 2022-02-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-07 | 2022-02-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-02-07 | 2022-02-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-07 | 2022-02-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-30 | 2022-02-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-30 | 2019-11-21 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-08-30 | 2019-11-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-08-30 | 2019-11-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-08-30 | 2019-11-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-08-30 | 2019-11-21 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-08-30 | 2019-11-21 | 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 | 2019-08-30 | 2019-11-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-30 | 2019-11-21 | N |
| 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 | 2019-08-30 | 2019-11-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-30 | 2019-11-21 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-08-30 | 2019-11-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-30 | 2019-11-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-30 | 2019-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-30 | 2019-11-21 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-19 | 2019-10-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-19 | 2019-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-19 | 2019-10-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-19 | 2019-10-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-19 | 2019-10-25 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-09-19 | 2019-10-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-19 | 2019-10-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-19 | 2019-10-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-19 | 2019-10-25 | N |
