A list of the most recent deficiencies for Mira Vista Court. 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 | 2023-10-13 | 2023-10-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-31 | 2023-10-06 | Y |
| Provide appropriate foot care. | Health | 2023-09-15 | 2023-09-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-31 | 2023-09-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-25 | 2023-04-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-30 | 2023-04-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-30 | 2023-04-07 | 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 | 2023-03-30 | 2023-04-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-30 | 2023-04-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-30 | 2023-04-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-30 | 2023-04-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-30 | 2023-04-07 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-01 | 2022-12-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-14 | 2022-10-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-14 | 2022-10-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-27 | 2022-10-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-27 | 2022-10-21 | 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 | 2022-07-21 | 2022-08-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-28 | 2022-07-28 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-25 | 2022-03-04 | N |
| Have a properly installed medical gas master alarm panel. | Fire Safety | 2022-01-25 | 2022-03-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-25 | 2022-03-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-26 | 2022-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-26 | 2022-02-21 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-01-26 | 2022-02-21 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-25 | 2022-02-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-18 | 2022-01-24 | 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 | 2021-07-08 | 2021-07-15 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-07-08 | 2021-07-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-08 | 2021-07-09 | Y |
| Have a properly installed medical gas master alarm panel. | Fire Safety | 2020-10-08 | 2020-11-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-10-08 | 2020-10-21 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2020-10-08 | 2020-10-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-10-08 | 2020-10-14 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2020-10-08 | 2020-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-08 | 2020-10-13 | N |
