A list of the most recent deficiencies for Civita Care Center at Milford. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-15 | 2023-01-25 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-15 | 2023-01-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-02 | 2022-10-13 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-06-03 | 2022-07-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-03 | 2022-07-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-03 | 2022-07-22 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-10 | 2022-07-20 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-05-10 | 2022-07-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-10 | 2022-07-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-05-10 | 2022-07-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-10 | 2022-07-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-05-10 | 2022-07-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-10 | 2022-07-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-10 | 2022-07-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-10 | 2022-07-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-10 | 2022-07-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-10 | 2022-07-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-10 | 2022-07-20 | 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 | 2022-05-12 | 2022-06-22 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-05-12 | 2022-06-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-12 | 2022-06-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-12 | 2022-06-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-12 | 2022-06-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-12 | 2022-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-12 | 2022-06-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-12 | 2022-05-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-05-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-07 | 2022-03-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-07 | 2022-03-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-02-07 | 2022-03-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-07 | 2022-03-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-03 | 2022-02-08 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-01-03 | 2022-02-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-10 | 2021-11-15 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-11-10 | 2021-11-15 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-11-10 | 2021-11-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-10 | 2021-11-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-10 | 2021-11-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-10 | 2021-11-15 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-10 | 2021-11-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-10 | 2021-11-15 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-11-10 | 2021-11-12 | Y |
| 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 | 2021-07-03 | 2021-08-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-25 | 2021-03-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-29 | 2020-03-09 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-01-29 | 2020-03-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-29 | 2020-03-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-01-29 | 2020-03-09 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-01-29 | 2020-03-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-29 | 2020-03-09 | N |
| Respond appropriately to all alleged violations. | Health | 2020-01-29 | 2020-03-09 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-01-29 | 2020-03-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-01-29 | 2020-03-09 | 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 | 2020-01-29 | 2020-03-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-29 | 2020-03-09 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-01-29 | 2020-03-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-29 | 2020-03-09 | 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 | 2020-01-29 | 2020-03-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-29 | 2020-03-09 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2020-01-27 | 2020-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-27 | 2020-02-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-27 | 2020-02-27 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-12-03 | 2019-02-01 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-12-03 | 2019-02-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-12-03 | 2019-02-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-12-03 | 2019-02-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-12-03 | 2019-02-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-12-03 | 2019-02-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-03 | 2019-02-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-03 | 2019-02-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-12-03 | 2019-02-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-03 | 2019-02-01 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-12-06 | 2019-01-17 | 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 | 2018-12-06 | 2019-01-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-06 | 2019-01-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-06 | 2019-01-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-06 | 2019-01-17 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-12-06 | 2019-01-17 | 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 | 2018-12-06 | 2019-01-17 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-12-06 | 2019-01-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-06 | 2019-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-06 | 2019-01-17 | N |
