A list of the most recent deficiencies for Complete Care at Hyattsville. 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? |
|---|---|---|---|---|
| Have a combustible roofing system that meets safety standards. | Fire Safety | 2023-02-16 | 2023-07-25 | N |
| 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 | 2023-02-16 | 2023-07-25 | 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 | 2023-02-16 | 2023-07-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-16 | 2023-07-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-16 | 2023-07-25 | N |
| 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 | 2023-03-09 | 2023-07-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-09 | 2023-07-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-09 | 2023-07-17 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-03-09 | 2023-07-17 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-03-09 | 2023-07-17 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2023-03-09 | 2023-07-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-09 | 2023-07-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-09 | 2023-05-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-09 | 2023-05-07 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-03-09 | 2023-05-07 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-09 | 2023-05-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-09 | 2023-05-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-03-09 | 2023-05-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-09 | 2023-05-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-09 | 2023-05-07 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-09 | 2023-05-07 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-03-09 | 2023-05-07 | N |
| Provide appropriate foot care. | Health | 2023-03-09 | 2023-05-07 | 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 | 2023-03-09 | 2023-05-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-09 | 2023-05-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-09 | 2023-05-07 | 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 | 2023-03-09 | 2023-05-07 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-03-09 | 2023-05-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-03-09 | 2023-05-07 | N |
| 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 | 2023-03-09 | 2023-05-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-09 | 2023-05-07 | 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 | 2023-03-09 | 2023-05-07 | N |
| Provide or obtain dental services for each resident. | Health | 2023-03-09 | 2023-05-07 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-03-09 | 2023-05-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-09 | 2023-05-07 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-03-09 | 2023-05-07 | 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 | 2023-03-09 | 2023-05-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-09 | 2023-05-07 | N |
| Keep all essential equipment working safely. | Health | 2023-03-09 | 2023-05-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-09 | 2023-05-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-09 | 2023-05-07 | 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 | 2023-03-09 | 2023-05-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-09 | 2023-05-07 | 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 | 2023-03-09 | 2023-05-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-09 | 2023-05-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-09 | 2023-05-07 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-09 | 2023-05-07 | Y |
| Meet other general requirements. | Fire Safety | 2023-02-16 | 2023-05-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-16 | 2023-05-01 | 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 | 2023-02-16 | 2023-05-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-16 | 2023-05-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-16 | 2023-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-16 | 2023-05-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-16 | 2023-05-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-02-16 | 2023-05-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-16 | 2023-05-01 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-02-16 | 2023-05-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-16 | 2023-05-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-16 | 2023-05-01 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-02-16 | 2023-05-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-16 | 2023-05-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-16 | 2023-05-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-16 | 2023-05-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-16 | 2023-05-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-23 | 2021-11-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-23 | 2021-11-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-23 | 2021-11-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-23 | 2021-11-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-23 | 2021-11-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-23 | 2021-11-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-23 | 2021-11-22 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-09-23 | 2021-11-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-23 | 2021-11-22 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-09-23 | 2021-03-05 | 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 | 2019-09-16 | 2019-10-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-16 | 2019-10-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-16 | 2019-10-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-16 | 2019-10-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-24 | 2018-07-02 | 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 | 2018-05-24 | 2018-06-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-24 | 2018-06-29 | 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 | 2018-05-24 | 2018-06-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-24 | 2018-06-29 | N |
