Mission Point Nursing & Physical Rehabilitation Ce

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Rule F0676. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 25, 2025.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 25, 2025.

Ensure medication error rates are not 5 percent or greater.

Rule F0759. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 25, 2025.

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Rule F0801. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 25, 2025.

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Rule F0802. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 25, 2025.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 25, 2025.

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Rule F0835. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 25, 2025.

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Rule F0847. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 25, 2025.

Have a plan that describes the process for conducting QAPI and QAA activities.

Rule F0865. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 25, 2025.

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Rule F0867. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 25, 2025.

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Rule F0868. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 25, 2025.

Implement a program that monitors antibiotic use.

Rule F0881. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 25, 2025.

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Rule F0882. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 25, 2025.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 25, 2025.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Rule F0657. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 25, 2025.

Give residents a notice of rights, rules, services and charges.

Rule F0572. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 6, 2025.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 6, 2025.

Provide enough food/fluids to maintain a resident’s health.

Rule F0692. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 6, 2025.

Make sure that a working call system is available in each resident’s bathroom and bathing area.

Rule F0919. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 6, 2025.

Provide and implement an infection prevention and control program.

Rule F0880. L: immediate jeopardy to health or safety. Correction date, as CMS recorded it: Sep 12, 2024.

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.

Rule F0584. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Rule F0623. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Rule F0700. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

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.

Rule F0726. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

Observe each nurse aide’s job performance and give regular training.

Rule F0730. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

Post nurse staffing information every day.

Rule F0732. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Rule F0808. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 19, 2024.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 19, 2024.

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Rule F0838. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Rule F0851. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

Implement a program that monitors antibiotic use.

Rule F0881. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member’s vaccination status.

Rule F0887. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Rule F0909. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Rule F0942. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Rule F0944. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Rule F0945. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Rule F0947. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 12, 2024.

Prepare residents for a safe transfer or discharge from the nursing home.

Rule F0624. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jun 7, 2024.

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Rule F0623. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 29, 2024.

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Rule F0745. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 7, 2024.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 26, 2024.

Respond appropriately to all alleged violations.

Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 26, 2024.