Deficiency Records for Misty Willow Healthcare and Rehabilitation Center
Updated as of September 01, 2018
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-30 | 2018-06-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-30 | 2018-06-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-30 | 2018-06-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-12 | 2018-03-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-01-12 | 2018-03-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-01-09 | 2018-02-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-01-09 | 2018-02-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-09 | 2018-02-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-01-12 | 2018-02-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-01-12 | 2018-02-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-12 | 2018-02-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-12 | 2018-02-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-01-12 | 2018-02-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-12 | 2018-02-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-12 | 2018-02-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-12 | 2018-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-12 | 2018-02-23 | N |
| Keep all essential equipment working safely. | Health | 2018-01-12 | 2018-02-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-05-02 | 2017-06-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-04 | 2017-06-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-05-02 | 2017-06-09 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-05-04 | 2017-06-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-04 | 2017-06-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-02 | 2017-06-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-05-02 | 2017-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-02 | 2017-05-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-05-04 | 2017-05-31 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-04 | 2017-05-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-04 | 2017-05-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-02-03 | 2017-02-14 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-02-03 | 2017-02-14 | 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 | 2017-02-03 | 2017-02-14 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-03 | 2017-02-14 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-02-03 | 2017-02-14 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-03 | 2017-02-14 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-02-03 | 2017-02-14 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-02-03 | 2017-02-14 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-02-03 | 2017-02-14 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2017-02-03 | 2017-02-14 | Y |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-02-03 | 2017-02-14 | Y |
| 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 | 2017-01-12 | 2017-02-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-12 | 2017-02-12 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-01-12 | 2017-02-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-09-26 | 2016-10-12 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-09-26 | 2016-10-12 | 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 | 2016-09-26 | 2016-10-12 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-09-26 | 2016-10-12 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-09-26 | 2016-10-12 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2016-09-26 | 2016-10-12 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-24 | 2016-09-16 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-08-24 | 2016-09-16 | Y |
| 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-24 | Not Fixed | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-24 | Not Fixed | Y |
