Deficiency Records for Misty Willow Healthcare and Rehabilitation Center
Updated as of September 01, 2016
This is not the most recent data for Misty Willow Healthcare and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Misty Willow Healthcare 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? |
|---|---|---|---|---|
| Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. | Health | 2016-06-02 | 2016-06-15 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-03-17 | 2016-05-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-03-17 | 2016-05-12 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-03-17 | 2016-05-12 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-03-17 | 2016-05-12 | N |
| Dispose of garbage and refuse properly. | Health | 2016-03-17 | 2016-05-12 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-03-17 | 2016-05-12 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2016-03-17 | 2016-05-12 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-03-15 | 2016-04-03 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-03-15 | 2016-04-03 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2016-03-15 | 2016-04-03 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-03-15 | 2016-04-03 | N |
| Portable fire extinguishers. | Fire Safety | 2016-03-15 | 2016-04-03 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-03-15 | 2016-04-03 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-03-15 | 2016-04-03 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-03-15 | 2016-04-03 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-03-15 | 2016-04-03 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2016-03-15 | 2016-04-03 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-11-23 | 2015-12-13 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-11-23 | 2015-12-13 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-11-23 | 2015-12-13 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-03-19 | 2015-04-14 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-03-19 | 2015-04-14 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-03-19 | 2015-04-14 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-03-19 | 2015-04-14 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-03-19 | 2015-04-14 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-03-19 | 2015-04-14 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-03-19 | 2015-04-14 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2015-03-19 | 2015-04-14 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-03-19 | 2015-04-14 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-03-19 | 2015-04-14 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-03-19 | 2015-04-14 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-03-19 | 2015-04-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-03-19 | 2015-04-14 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2015-01-28 | 2015-03-19 | Y |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-03-07 | 2014-03-19 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-03-07 | 2014-03-19 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-03-07 | 2014-03-19 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-03-07 | 2014-03-10 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2014-03-07 | 2014-03-10 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-03-07 | 2014-03-10 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2014-03-07 | 2014-03-10 | N |
| Keep complete, dated laboratory records in the resident's file. | Health | 2014-03-07 | 2014-03-10 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-03-07 | 2014-03-10 | Y |
| Maintain 15 months of resident assessments in the resident's active clinical record. | Health | 2013-10-17 | 2013-10-25 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2013-10-17 | 2013-10-25 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-10-17 | 2013-10-25 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2013-11-04 | Not Fixed | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2013-11-04 | Not Fixed | Y |
