Deficiency Records for Childrens Comprehensive Care Center Inc
Updated as of April 01, 2024
A list of the most recent deficiencies for Childrens Comprehensive Care Center Inc. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2023-11-20 | 2023-12-20 | Y |
| 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 |
| 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 |
| Provide enough food/fluids to maintain a resident's health. | 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 |
| 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 |
| 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 |
| Dispose of garbage and refuse properly. | 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 | 2022-06-20 | 2022-09-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-20 | 2022-07-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-20 | 2022-07-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-06-20 | 2022-07-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-20 | 2022-07-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-20 | 2022-07-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-17 | 2022-07-10 | 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 | 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 |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-03 | 2022-07-03 | N |
| Post nurse staffing information every day. | 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 |
| 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 |
| 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 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 |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | 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 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 |
| 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 |
| Dispose of garbage and refuse properly. | 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 |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-03 | 2022-07-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-06 | 2021-07-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-06 | 2021-06-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-06 | 2021-06-05 | 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 | 2021-05-06 | 2021-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-06 | 2021-06-05 | N |
| Dispose of garbage and refuse properly. | Health | 2021-05-06 | 2021-06-05 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-05-06 | 2021-06-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-06 | 2021-06-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-05-06 | 2021-06-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-04 | 2021-06-05 | 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 | 2021-05-04 | 2021-06-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-04 | 2021-06-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-04 | 2021-06-05 | N |
