A list of the most recent deficiencies for Countryview Care Center-Macomb. 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 | 2023-10-18 | 2023-11-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-18 | 2023-11-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-18 | 2023-11-08 | 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 | 2023-10-18 | 2023-11-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-18 | 2023-11-08 | 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 | 2023-10-18 | 2023-11-08 | N |
| Provide or obtain dental services for each resident. | Health | 2023-10-18 | 2023-11-08 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-10-18 | 2023-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-18 | 2023-11-08 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-10-18 | 2023-11-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-18 | 2023-11-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-10-18 | 2023-11-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-18 | 2023-11-08 | 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 | 2023-10-18 | 2023-11-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-18 | 2023-11-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-18 | 2023-11-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-18 | 2023-11-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-18 | 2023-11-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-10-18 | 2023-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-18 | 2023-11-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2023-09-11 | 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 | 2023-08-24 | 2023-09-11 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-08-24 | 2023-09-11 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-08-24 | 2023-09-11 | Y |
| 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 | 2023-08-24 | 2023-09-11 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-24 | 2023-09-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-13 | 2023-06-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-05 | 2023-04-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-23 | 2023-03-18 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-10-29 | 2023-01-06 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-09-21 | 2023-01-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-21 | 2022-12-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-21 | 2022-12-15 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-21 | 2022-12-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-21 | 2022-12-15 | 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 | 2022-09-21 | 2022-12-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-09-21 | 2022-12-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-21 | 2022-12-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-21 | 2022-12-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-21 | 2022-12-15 | 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 | 2022-09-21 | 2022-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-21 | 2022-12-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-21 | 2022-12-15 | 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 | 2022-09-21 | 2022-12-15 | 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 | 2022-09-21 | 2022-12-15 | 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 | 2022-09-21 | 2022-12-15 | 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 | 2022-09-21 | 2022-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-21 | 2022-12-15 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-09-21 | 2022-12-15 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-09-21 | 2022-12-15 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-09-21 | 2022-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-21 | 2022-12-15 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-09-21 | 2022-12-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-21 | 2022-12-15 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-09-21 | 2022-12-15 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-21 | 2022-12-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-09-21 | 2022-10-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-21 | 2022-10-28 | 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 | 2022-09-21 | 2022-10-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-21 | 2022-10-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-21 | 2022-10-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-21 | 2022-10-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-21 | 2022-10-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-28 | 2022-10-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-14 | 2022-10-03 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-09-02 | 2022-10-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-09-02 | 2022-10-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-08 | 2022-07-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-10 | 2022-06-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-29 | 2022-06-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-06 | 2022-03-03 | 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 | 2022-02-06 | 2022-03-03 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-06 | 2022-03-03 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-12-22 | 2022-01-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-17 | 2021-11-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-28 | 2021-10-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-01 | 2021-09-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-01 | 2021-09-10 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Establish methods for sharing information. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-05 | 2021-08-20 | 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 | 2021-08-05 | 2021-08-20 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-08-05 | 2021-08-20 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-06-03 | 2021-06-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-03 | 2021-06-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-03 | 2021-06-03 | Y |
