A list of the most recent deficiencies for Catholic 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-27 | 2023-04-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-27 | 2023-04-07 | 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 | 2023-02-27 | 2023-04-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-27 | 2023-04-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-27 | 2023-04-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-27 | 2023-04-07 | 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 | 2023-02-27 | 2023-04-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-27 | 2023-04-07 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-02-22 | 2023-03-09 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-02-22 | 2023-03-09 | 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 | 2023-02-22 | 2023-03-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-22 | 2023-03-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-22 | 2023-03-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-22 | 2023-03-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-22 | 2023-03-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-22 | 2023-03-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-22 | 2023-03-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-22 | 2023-03-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-22 | 2023-03-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-22 | 2023-03-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-28 | 2022-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-09 | 2021-11-04 | 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 | 2021-11-09 | 2021-11-04 | Y |
| 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 | 2021-07-14 | 2021-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-14 | 2021-08-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-14 | 2021-08-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-14 | 2021-08-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-14 | 2021-08-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-14 | 2021-08-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-06-28 | 2021-07-28 | 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 | 2021-06-28 | 2021-07-28 | 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 | 2021-06-28 | 2021-07-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-28 | 2021-07-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-28 | 2021-07-28 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-06-28 | 2021-07-28 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-28 | 2021-07-28 | 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 | 2021-06-28 | 2021-07-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-28 | 2021-07-28 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-14 | 2021-07-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-09 | 2019-10-11 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-09-09 | 2019-10-11 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-09-09 | 2019-10-11 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-09-09 | 2019-10-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-09 | 2019-10-11 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-09-09 | 2019-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-09 | 2019-10-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-09 | 2019-10-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-09 | 2019-10-11 | 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 | 2019-09-09 | 2019-10-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-09 | 2019-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-09 | 2019-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-09 | 2019-10-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-06 | 2018-12-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-12-06 | 2018-12-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-12-06 | 2018-12-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-12-06 | 2018-12-11 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-12-06 | 2018-12-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-06 | 2018-12-06 | 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 | 2018-12-06 | 2018-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-06 | 2018-12-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-12-06 | 2018-12-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-06 | 2018-12-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-12-06 | 2018-12-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-06 | 2018-12-06 | N |
