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Deficiency Records for Childrens Comprehensive Care Center Inc
View the most recent health deficiencies and inspection results for Childrens Comprehensive Care Center Inc. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Childrens Comprehensive Care Center Inc. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-03-26 | 2026-04-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-03 | 2026-01-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-02 | 2025-05-27 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-11-22 | 2025-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-22 | 2025-01-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-22 | 2025-01-27 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-11-22 | 2025-01-27 | 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 | 2024-11-22 | 2024-12-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-22 | 2024-12-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-22 | 2024-12-31 | 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 | 2024-11-22 | 2024-12-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-11-22 | 2024-12-31 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-11-22 | 2024-12-31 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-11-22 | 2024-12-31 | 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 (including nights and weekends) and emergencies. | Health | 2024-11-22 | 2024-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-22 | 2024-12-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-11-22 | 2024-12-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-22 | 2024-12-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-11-22 | 2024-12-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-22 | 2024-12-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-11-22 | 2024-11-22 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-20 | 2023-12-20 | Y |
| Dispose of garbage and refuse properly. | Health | 2023-09-07 | 2023-10-07 | 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 | 2023-09-07 | 2023-10-07 | 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 | 2023-09-07 | 2023-10-07 | 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 | 2023-09-07 | 2023-10-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-07 | 2023-10-07 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-09-07 | 2023-10-07 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-09-07 | 2023-10-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-07 | 2023-10-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-09-07 | 2023-10-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-09-07 | 2023-10-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-07 | 2023-09-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-07 | 2023-09-22 | N |
| Meet other general requirements. | Fire Safety | 2022-06-03 | 2022-09-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-03 | 2022-07-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-03 | 2022-07-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-06-03 | 2022-07-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-03 | 2022-07-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-03 | 2022-07-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-03 | 2022-07-03 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-06-03 | 2022-07-03 | N |
| Dispose of garbage and refuse properly. | Health | 2022-06-03 | 2022-07-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-03 | 2022-07-03 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-06-03 | 2022-07-03 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-06-03 | 2022-07-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-03 | 2022-07-03 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-06-03 | 2022-07-03 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-06-03 | 2022-07-03 | 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 | 2022-06-03 | 2022-07-03 | 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 | 2022-06-03 | 2022-07-03 | N |
| Post nurse staffing information every day. | Health | 2022-06-03 | 2022-07-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-03 | 2022-07-03 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-06-03 | 2022-07-03 | 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 | 2022-06-03 | 2022-07-03 | N |