Deficiency Records for Mi Casita Nursing and Rehabilitation Center
Updated as of October 01, 2020
This is not the most recent data for Mi Casita Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Mi Casita Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-17 | 2020-02-20 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-16 | 2020-02-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-16 | 2020-02-17 | 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 | 2020-01-16 | 2020-02-17 | 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 | 2020-01-16 | 2020-02-17 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2020-01-16 | 2020-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-16 | 2020-02-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-01-16 | 2020-02-17 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2020-01-16 | 2020-02-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-13 | 2020-02-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-13 | 2020-01-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-27 | 2019-09-30 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-01-31 | 2019-02-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-13 | 2019-02-08 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-12-11 | 2019-01-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-11 | 2019-01-17 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-12-13 | 2019-01-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-13 | 2019-01-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-12-13 | 2019-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-13 | 2019-01-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-12-13 | 2019-01-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-12 | 2018-05-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-04-12 | 2018-04-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-08 | 2018-01-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-12-08 | 2018-01-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2017-12-08 | 2018-01-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-08 | 2018-01-12 | 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 | 2017-12-08 | 2018-01-12 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2017-12-08 | 2018-01-12 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2017-12-08 | 2018-01-12 | N |
| Provide activities to meet all resident's needs. | Health | 2017-12-08 | 2018-01-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-08 | 2018-01-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-08 | 2018-01-12 | N |
| 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 | 2017-12-08 | 2018-01-12 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2017-12-08 | 2018-01-12 | 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 | 2017-12-08 | 2018-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-08 | 2018-01-12 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-12-08 | 2018-01-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-12-08 | 2018-01-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2017-12-08 | 2018-01-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2017-12-08 | 2017-12-12 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2017-12-08 | 2017-12-12 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2017-12-08 | 2017-12-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2017-12-08 | 2017-12-12 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2017-12-08 | 2017-12-12 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2017-12-08 | 2017-12-12 | N |
| Establish methods for sharing information. | Fire Safety | 2017-12-08 | 2017-12-12 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2017-12-08 | 2017-12-12 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2017-12-08 | 2017-12-12 | N |
| Establish emergency prep training and testing. | Fire Safety | 2017-12-08 | 2017-12-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2017-12-08 | 2017-12-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2017-12-08 | 2017-12-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-13 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-12-08 | Not Fixed | N |
