Deficiency Records for Community Care Center
Updated as of May 01, 2024
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Deficiency Records for Community Care Center
A list of the most recent deficiencies for Community Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Community Care 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? |
---|---|---|---|---|
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-03-05 | 2024-03-27 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-05 | 2024-03-27 | N |
Ensure each resident receives an accurate assessment. | Health | 2024-02-29 | 2024-03-22 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-02-29 | 2024-03-22 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-29 | 2024-03-22 | 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 | 2024-02-29 | 2024-03-22 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-02-29 | 2024-03-22 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-02-29 | 2024-03-22 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-12-08 | 2023-12-19 | Y |
Provide appropriate foot care. | Health | 2023-04-25 | 2023-05-11 | Y |
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-05-31 | 2022-06-24 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-20 | 2021-11-30 | Y |
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. | Health | 2021-10-21 | 2021-11-20 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-10-21 | 2021-11-20 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-21 | 2021-11-20 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-21 | 2021-11-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-21 | 2021-11-20 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-21 | 2021-11-20 | N |
Provide and implement an infection prevention and control program. | Health | 2021-10-21 | 2021-11-20 | N |
Keep all essential equipment working safely. | Health | 2021-10-21 | 2021-11-20 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-10-21 | 2021-11-20 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-21 | 2021-11-20 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-15 | 2021-11-15 | Y |
Provide family notifications of emergency plan. | Fire Safety | 2021-10-25 | 2021-11-08 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-10-25 | 2021-11-08 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-10-25 | 2021-11-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-25 | 2021-11-08 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-10-25 | 2021-11-08 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-25 | 2021-11-08 | N |
Meet other general requirements that are deficient. | Fire Safety | 2021-10-25 | 2021-11-08 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-10-25 | 2021-11-08 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-25 | 2021-11-08 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-25 | 2021-11-08 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-08-17 | 2021-09-16 | Y |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-08-17 | 2021-09-16 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-08-17 | 2021-09-16 | Y |
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 | 2021-08-17 | 2021-09-16 | Y |
Report COVID19 data to residents and families. | Health | 2021-08-17 | 2021-09-16 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-03 | 2021-07-27 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-06-03 | 2021-07-27 | Y |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-06-08 | 2021-07-07 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-02 | 2021-07-01 | Y |
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-05-21 | 2021-06-05 | Y |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-10-02 | 2019-10-22 | N |
Provide family notifications of emergency plan. | Fire Safety | 2019-10-02 | 2019-10-22 | N |
Implement emergency and standby power systems. | Fire Safety | 2019-10-02 | 2019-10-22 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-02 | 2019-10-22 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2019-10-02 | 2019-10-22 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-09-06 | 2019-10-05 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-09-06 | 2019-10-05 | 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 | 2019-09-06 | 2019-10-05 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-09-06 | 2019-10-05 | N |
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