A list of the most recent deficiencies for Complete Care at Springbrook. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-06 | 2021-06-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-06 | 2021-06-14 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2020-09-16 | 2020-10-16 | 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 | 2020-09-16 | 2020-10-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-09-16 | 2020-10-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-16 | 2020-10-16 | 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 | 2020-09-16 | 2020-10-16 | 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 | 2020-09-16 | 2020-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-16 | 2020-10-16 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2020-09-15 | 2020-09-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-12 | 2019-10-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-12 | 2019-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-12 | 2019-10-28 | 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 | 2019-09-12 | 2019-10-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-12 | 2019-10-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-12 | 2019-10-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-12 | 2019-10-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-12 | 2019-10-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-16 | 2019-10-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-16 | 2019-10-11 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-03-29 | 2019-05-17 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2019-03-29 | 2019-05-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-29 | 2019-05-17 | 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 | 2019-03-29 | 2019-05-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-29 | 2019-05-17 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-03-29 | 2019-05-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-29 | 2019-05-17 | 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 | 2019-03-29 | 2019-05-17 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2019-03-29 | 2019-05-17 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-04-02 | 2019-05-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-02 | 2019-05-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-04-02 | 2019-05-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-29 | 2019-01-24 | N |
