Inspection Results » Mission Manor Healthcare Residence

Health Inspection on October 24, 2018 ^[1]

1. Pattern: Actual harm that is not immediate jeopardy

   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-11-20)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-11-20)

2. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Implement a program that monitors antibiotic use. (Corrected 2018-11-06)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-11-20)
   • Keep all essential equipment working safely. (Corrected 2018-11-06)

3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-11-19)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-11-15)
   • 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. (Corrected 2018-11-20)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-11-20)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-11-16)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2018-11-20)
   • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2018-11-06)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-11-15)

4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2018-11-30)
   • Provide and implement an infection prevention and control program. (Corrected 2018-11-20)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-11-06)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-11-06)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-11-16)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-11-06)