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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-12 | 2024-02-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-12 | 2024-02-08 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2024-01-12 | 2024-02-08 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-10-30 | 2023-11-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-21 | 2023-10-13 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-09 | 2023-10-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-07 | 2023-09-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-09 | 2023-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-03 | 2023-08-24 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-06-05 | 2023-07-03 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-06-05 | 2023-07-03 | Y |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2023-04-18 | 2023-05-08 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-01 | 2023-03-30 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-12-02 | 2023-01-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-10 | 2022-11-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-01 | 2022-09-19 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-04-08 | 2022-04-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-08 | 2022-04-30 | N |
| 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 | 2022-04-08 | 2022-04-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-08 | 2022-04-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-08 | 2022-04-30 | 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 | 2022-04-08 | 2022-04-30 | N |
| 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. | Health | 2022-04-08 | 2022-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-08 | 2022-04-30 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-04-06 | 2022-04-25 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-04-06 | 2022-04-25 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-04-06 | 2022-04-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-06 | 2022-04-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-06 | 2022-04-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-06 | 2022-04-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-06 | 2022-04-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-06 | 2022-04-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-06 | 2022-04-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-09 | 2022-02-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-09 | 2022-02-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-09 | 2022-02-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-12-09 | 2022-02-19 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-12-09 | 2022-02-19 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-12-09 | 2022-02-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-20 | 2022-01-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-16 | 2021-07-21 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-07-16 | 2021-07-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-25 | 2019-08-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-25 | 2019-08-22 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-07-25 | 2019-08-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-07-25 | 2019-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-25 | 2019-08-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-25 | 2019-08-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-07-25 | 2019-08-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-07-25 | 2019-08-22 | N |
| Post nurse staffing information every day. | Health | 2019-07-25 | 2019-08-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-25 | 2019-08-22 | 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 | 2019-07-25 | 2019-08-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-07-25 | 2019-08-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-25 | 2019-08-19 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-07-25 | 2019-08-19 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-07-25 | 2019-08-19 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-07-25 | 2019-08-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-25 | 2019-08-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-25 | 2019-08-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-25 | 2019-08-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-30 | 2018-08-28 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-07-30 | 2018-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-30 | 2018-08-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-30 | 2018-08-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-30 | 2018-08-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-30 | 2018-08-28 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-07-30 | 2018-08-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-30 | 2018-08-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-27 | 2018-08-20 | N |
| 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 | 2018-07-27 | 2018-08-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-27 | 2018-08-20 | 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 | 2018-07-27 | 2018-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-27 | 2018-08-20 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2018-07-27 | 2018-08-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-27 | 2018-08-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-07-27 | 2018-08-20 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2018-07-27 | 2018-08-20 | N |
