CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Complete Care at Margate Park
View the most recent health deficiencies and inspection results for Complete Care at Margate Park. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Margate Park. Stay informed about quality of care issues.
| 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 | 2026-04-13 | 2026-04-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-04-13 | 2026-04-27 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-11-20 | 2025-12-18 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-11-20 | 2025-12-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-20 | 2025-12-18 | Y |
| Dispose of garbage and refuse properly. | Health | 2025-11-20 | 2025-12-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-23 | 2025-10-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-09-23 | 2025-10-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-09-23 | 2025-10-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-23 | 2025-10-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-06 | 2025-09-08 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-08-06 | 2025-09-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-18 | 2025-09-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-18 | 2025-09-08 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2025-07-18 | 2025-09-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-21 | 2025-08-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-20 | 2025-07-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-17 | 2025-05-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-17 | 2025-05-01 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-04-03 | 2025-04-30 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2025-04-03 | 2025-04-21 | 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 | 2025-04-03 | 2025-04-17 | 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 | 2025-04-03 | 2025-04-17 | 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 | 2025-04-03 | 2025-04-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-03 | 2025-04-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-03 | 2025-04-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-03 | 2025-04-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-03 | 2025-04-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-04-03 | 2025-04-17 | 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 | 2025-04-03 | 2025-04-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-03 | 2025-04-17 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-04-03 | 2025-04-17 | N |
| Keep all essential equipment working safely. | Health | 2025-04-03 | 2025-04-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-04-03 | 2025-04-17 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-04-03 | 2025-04-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-03 | 2025-04-17 | N |
| Post nurse staffing information every day. | Health | 2025-04-03 | 2025-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-03 | 2025-04-15 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-04-03 | 2025-04-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-28 | 2025-04-11 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2025-03-28 | 2025-04-11 | Y |
| 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 | 2025-04-03 | 2025-04-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-21 | 2025-04-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-02-26 | 2025-03-07 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-02-18 | 2025-02-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-15 | 2025-01-22 | 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 | 2025-01-15 | 2025-01-22 | 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 | 2024-12-20 | 2025-01-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-20 | 2025-01-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-21 | 2024-12-13 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-21 | 2024-12-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-11-21 | 2024-12-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-11-21 | 2024-12-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-21 | 2024-12-13 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-11-21 | 2024-12-13 | Y |
| 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 | 2024-10-10 | 2024-11-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-10 | 2024-11-01 | 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 | 2024-10-10 | 2024-11-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-18 | 2024-11-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-23 | 2024-09-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-23 | 2024-09-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-23 | 2024-09-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-23 | 2024-09-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-24 | 2024-08-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-05 | 2024-07-26 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-07-05 | 2024-07-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-14 | 2024-07-24 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-21 | 2024-07-18 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-06-21 | 2024-07-18 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-06-21 | 2024-07-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-21 | 2024-07-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-29 | 2024-03-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-29 | 2024-03-14 | 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 | 2024-02-29 | 2024-03-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-29 | 2024-03-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-29 | 2024-03-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-29 | 2024-03-14 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2024-02-29 | 2024-03-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-22 | 2024-03-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-22 | 2024-03-08 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-29 | 2024-02-27 | 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 | 2024-02-29 | 2024-02-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-02-29 | 2024-02-27 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-02-29 | 2024-02-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-29 | 2024-02-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-29 | 2024-02-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-29 | 2024-02-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-29 | 2024-02-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-17 | 2024-02-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-17 | 2024-02-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-17 | 2024-02-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-29 | 2024-01-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-29 | 2024-01-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-19 | 2023-12-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-15 | 2023-10-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-30 | 2023-08-19 | 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 | 2023-06-30 | 2023-07-21 | 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 | 2023-03-17 | 2023-04-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-17 | 2023-04-15 | N |
| 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 | 2023-03-17 | 2023-04-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-17 | 2023-04-15 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-17 | 2023-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-17 | 2023-04-15 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-03-17 | 2023-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-17 | 2023-04-15 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-03-17 | 2023-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-17 | 2023-04-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-17 | 2023-04-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-17 | 2023-04-15 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-03-17 | 2023-04-15 | 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 | 2023-03-17 | 2023-04-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-17 | 2023-04-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-17 | 2023-04-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-17 | 2023-04-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-17 | 2023-04-15 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-03-17 | 2023-03-28 | 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 | 2023-03-17 | 2023-03-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-17 | 2023-03-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-17 | 2023-03-22 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-03-17 | 2023-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-17 | 2023-03-22 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-02-29 | Not Fixed | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-03-17 | Not Fixed | N |