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Deficiency Records for Midwestern Healthcare Center
A list of the most recent deficiencies for Midwestern Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Midwestern Healthcare 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? |
---|---|---|---|---|
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 | 2024-07-09 | 2024-08-10 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-07-12 | 2024-08-05 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-09 | 2024-08-05 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-09 | 2024-08-05 | N |
Provide properly protected cooking facilities. | Fire Safety | 2024-07-09 | 2024-08-05 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-09 | 2024-08-05 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-09 | 2024-08-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-12 | 2024-07-31 | 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 | 2023-11-16 | 2023-12-01 | Y |
Ensure each resident receives an accurate assessment. | Health | 2023-11-16 | 2023-12-01 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-16 | 2023-12-01 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-12-01 | Y |
Post nurse staffing information every day. | Health | 2023-11-16 | 2023-12-01 | 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 | 2023-11-16 | 2023-12-01 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-16 | 2023-12-01 | Y |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-06 | 2023-07-31 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-06 | 2023-07-31 | N |
Assess the resident when there is a significant change in condition | Health | 2023-05-24 | 2023-06-21 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-24 | 2023-06-21 | 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 | 2023-05-24 | 2023-06-21 | 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 | 2023-05-24 | 2023-06-21 | N |
Provide and implement an infection prevention and control program. | Health | 2022-12-22 | 2023-01-14 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-14 | 2022-04-15 | Y |
Ensure that residents are free from significant medication errors. | Health | 2022-04-14 | 2022-04-15 | Y |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-03-25 | 2022-03-26 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-25 | 2022-03-26 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-25 | 2022-03-26 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-03-25 | 2022-03-26 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-25 | 2022-03-26 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-03-25 | 2022-03-26 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-25 | 2022-03-26 | 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 | 2022-03-25 | 2022-03-26 | 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 | 2022-03-25 | 2022-03-26 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-25 | 2022-03-26 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-03-25 | 2022-03-26 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-03-25 | 2022-03-26 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-25 | 2022-03-26 | 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 | 2022-03-25 | 2022-03-26 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-25 | 2022-03-26 | N |
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