A list of the most recent deficiencies for Complete Care at Groton Regency 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-20 | 2023-04-27 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2021-11-10 | 2022-02-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-10 | 2022-02-22 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-11-10 | 2022-02-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-10 | 2022-02-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-10 | 2022-02-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-10 | 2022-02-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-11-10 | 2022-02-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-10 | 2022-02-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-10 | 2022-02-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-11-10 | 2022-02-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-10 | 2022-02-22 | 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 | 2022-02-01 | 2022-02-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-01 | 2022-02-18 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-01 | 2022-02-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-01 | 2022-02-01 | 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 | 2021-11-19 | 2022-01-31 | 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 | 2021-11-19 | 2022-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-19 | 2022-01-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-19 | 2022-01-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-19 | 2022-01-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-19 | 2022-01-31 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-11-19 | 2022-01-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-19 | 2022-01-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-19 | 2022-01-31 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-11-19 | 2022-01-31 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-10 | 2021-12-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-27 | 2021-09-03 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-07-27 | 2021-09-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-27 | 2021-09-03 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-07-27 | 2021-09-03 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-07 | 2019-08-23 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-06-07 | 2019-08-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-07 | 2019-08-23 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-06-07 | 2019-08-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-07 | 2019-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-07 | 2019-08-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-31 | 2019-07-10 | 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 | 2019-05-31 | 2019-07-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-31 | 2019-07-10 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2019-05-31 | 2019-07-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-05-31 | 2019-07-10 | 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 | 2019-05-31 | 2019-07-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-17 | 2018-05-25 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2018-04-17 | 2018-05-25 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-04-17 | 2018-05-25 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2018-04-17 | 2018-05-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-17 | 2018-05-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-04-17 | 2018-05-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-17 | 2018-05-25 | 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 | 2018-04-17 | 2018-05-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-17 | 2018-05-25 | 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 | 2018-04-17 | 2018-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-17 | 2018-05-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-04-13 | 2018-05-25 | N |
