A list of the most recent deficiencies for Focused Care at Midland. 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2023-05-01 | 2023-06-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-01 | 2023-06-01 | Y |
| Provide appropriate foot care. | Health | 2023-05-01 | 2023-06-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-01 | 2023-06-01 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-03-09 | 2023-04-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-09 | 2023-04-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-03-09 | 2023-04-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-09 | 2023-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-09 | 2023-04-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-09 | 2023-04-22 | N |
| Keep all essential equipment working safely. | Health | 2023-03-09 | 2023-04-22 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2023-03-09 | 2023-04-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-09 | 2023-04-22 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-03-09 | 2023-04-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-09 | 2023-04-22 | 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 | 2023-03-09 | 2023-04-22 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-09 | 2023-04-22 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-28 | 2023-04-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-06 | 2022-02-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-06 | 2022-02-04 | 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 | 2022-01-06 | 2022-02-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-06 | 2022-02-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-06 | 2022-02-04 | N |
| Meet other general requirements. | Fire Safety | 2022-01-05 | 2022-02-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-05 | 2022-02-04 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-01-05 | 2022-02-04 | 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 | 2022-01-05 | 2022-02-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-05 | 2022-02-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-01-05 | 2022-02-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-05 | 2022-02-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-05 | 2022-02-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-10-16 | 2020-11-16 | 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 | 2020-10-15 | 2020-11-15 | 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 | 2020-10-15 | 2020-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-15 | 2020-11-15 | N |
| Keep all essential equipment working safely. | Health | 2020-10-15 | 2020-11-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-10-15 | 2020-11-15 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-10-15 | 2020-11-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-10-16 | 2020-11-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-10-16 | 2020-11-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-10-16 | 2020-11-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-10-16 | 2020-11-15 | N |
| Establish methods for sharing information. | Fire Safety | 2020-10-16 | 2020-11-15 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-10-16 | 2020-11-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-10-16 | 2020-11-15 | 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 | 2020-10-16 | 2020-11-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-16 | 2020-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-16 | 2020-11-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-10-16 | 2020-11-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-10-16 | 2020-11-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-10-16 | 2020-11-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-10-16 | 2020-11-15 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2020-10-16 | 2020-11-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-10-16 | 2020-11-15 | 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 | 2020-10-15 | 2020-11-08 | N |
