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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