Deficiency Records for Complete Care at Annapolis
Updated as of July 01, 2020
This is not the most recent data for Complete Care at Annapolis. For the most recent information, click here.
A list of the most recent deficiencies for Complete Care at Annapolis. 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? |
---|---|---|---|---|
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 | 2019-11-22 | 2020-01-30 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-11-22 | 2020-01-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-22 | 2020-01-30 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-22 | 2020-01-30 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-22 | 2020-01-30 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-22 | 2020-01-30 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-11-14 | 2020-01-10 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-14 | 2020-01-10 | 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 | 2019-11-14 | 2020-01-10 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2019-11-14 | 2020-01-10 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-14 | 2020-01-10 | 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 | 2019-11-14 | 2020-01-10 | 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 | 2019-11-14 | 2020-01-10 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-11-14 | 2020-01-10 | N |
Provide or obtain dental services for each resident. | Health | 2019-11-14 | 2020-01-10 | N |
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2019-11-14 | 2020-01-10 | 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 and emergencies. | Health | 2019-11-14 | 2020-01-10 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-14 | 2020-01-10 | N |
Respond appropriately to all alleged violations. | Health | 2019-11-14 | 2020-01-10 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-14 | 2020-01-10 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-25 | 2019-04-26 | Y |
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 | 2019-03-25 | 2019-04-26 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-25 | 2019-04-26 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-25 | 2019-04-26 | Y |
Ensure that residents are free from significant medication errors. | Health | 2019-03-25 | 2019-04-26 | Y |
Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-01-24 | 2019-02-27 | 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 | 2019-01-24 | 2019-02-27 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-14 | 2019-01-23 | Y |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-09-05 | 2018-09-22 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-27 | 2018-09-14 | 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 | 2018-07-27 | 2018-09-14 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-07-27 | 2018-09-14 | 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 | 2018-07-27 | 2018-09-14 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-07-27 | 2018-09-14 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-27 | 2018-09-14 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-27 | 2018-09-14 | N |
Provide and implement an infection prevention and control program. | Health | 2018-07-27 | 2018-09-14 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-07-27 | 2018-09-14 | N |
Respond appropriately to all alleged violations. | Health | 2018-07-27 | 2018-09-14 | Y |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-07 | 2018-08-22 | 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 | 2018-08-07 | 2018-08-20 | 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 | 2018-08-07 | 2018-08-20 | N |
Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2018-08-07 | 2018-08-20 | N |
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2018-08-07 | 2018-08-20 | 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 | 2018-07-02 | 2018-07-25 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-07-02 | 2018-07-25 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-20 | 2018-01-20 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-12-20 | 2018-01-20 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-12-20 | 2018-01-20 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-11-20 | 2017-12-11 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-11-20 | 2017-12-11 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-11-20 | 2017-12-11 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-20 | 2017-12-11 | Y |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-11-20 | 2017-12-11 | Y |
Ensure that residents are safe from serious medication errors. | Health | 2017-11-20 | 2017-12-11 | Y |
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2017-11-20 | 2017-12-11 | Y |
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-11-20 | 2017-12-11 | Y |
Tell the attending physician the results of x-rays and other tests, in a timely manner. | Health | 2017-11-20 | 2017-12-11 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-09-20 | 2017-12-04 | Y |
Make sure that doctors visit residents regularly, as required. | Health | 2017-09-20 | 2017-12-04 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-20 | 2017-12-04 | Y |
Provide timely notification to the resident before transfer or discharge. | Health | 2017-09-20 | 2017-10-20 | Y |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-20 | 2017-10-20 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-20 | 2017-10-20 | Y |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-09-20 | 2017-10-20 | Y |
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-09-20 | 2017-10-20 | Y |
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-09-20 | 2017-10-20 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-07-06 | 2017-08-18 | Y |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-06 | 2017-08-18 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-06 | 2017-08-18 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-07-06 | 2017-08-18 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-07-06 | 2017-08-18 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-06 | 2017-08-18 | Y |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-07-06 | 2017-08-18 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-06 | 2017-08-18 | Y |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-06-05 | 2017-06-27 | Y |
Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2017-06-05 | 2017-06-27 | Y |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-04-06 | 2017-04-24 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2017-04-10 | 2017-04-16 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-04-10 | 2017-04-16 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-04-10 | 2017-04-16 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-10 | 2017-04-16 | N |