A list of the most recent deficiencies for Complete Care at Glendale LLC. 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? |
---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-13 | 2023-08-21 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-13 | 2023-08-21 | Y |
Establish staff and initial training requirements. | Fire Safety | 2021-08-26 | 2021-11-09 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-08-26 | 2021-11-09 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-26 | 2021-11-09 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-08-26 | 2021-11-09 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-08-26 | 2021-11-09 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-31 | 2021-10-01 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-31 | 2021-10-01 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-31 | 2021-10-01 | N |
Provide and implement an infection prevention and control program. | Health | 2021-08-31 | 2021-10-01 | N |
Keep all essential equipment working safely. | Health | 2021-08-31 | 2021-10-01 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-07 | 2021-05-18 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-04-07 | 2021-05-18 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-25 | 2019-06-21 | 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 | 2019-04-25 | 2019-06-21 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-25 | 2019-06-21 | 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 | 2019-04-30 | 2019-06-11 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-30 | 2019-06-11 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-30 | 2019-06-11 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-30 | 2019-06-11 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-30 | 2019-06-11 | 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 | 2019-04-30 | 2019-06-11 | 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 | 2019-04-30 | 2019-06-11 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-30 | 2019-06-11 | N |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-03-26 | 2018-06-08 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-03-26 | 2018-06-08 | N |
Meet other general requirements that are deficient. | Fire Safety | 2018-03-26 | 2018-06-08 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-03-26 | 2018-06-08 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-02 | 2018-05-14 | N |
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 | 2018-04-02 | 2018-05-14 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-04-02 | 2018-05-14 | 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 | 2018-04-02 | 2018-05-14 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-02 | 2018-05-14 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-02 | 2018-05-14 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-02 | 2018-05-14 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-04-02 | 2018-05-14 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-04-02 | 2018-05-14 | N |