A list of the most recent deficiencies for Complete Care at Laplata LLC. 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 | 2021-05-14 | 2021-06-11 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-05-14 | 2021-06-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-14 | 2021-06-11 | Y |
| Meet other general requirements. | Fire Safety | 2020-02-12 | 2020-03-10 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2020-02-12 | 2020-03-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-12 | 2020-03-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-12 | 2020-03-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-01-30 | 2020-03-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-30 | 2020-03-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-27 | 2018-09-21 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-07-27 | 2018-09-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-27 | 2018-09-21 | N |
| Provide activities to meet all resident's needs. | Health | 2018-07-27 | 2018-09-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-27 | 2018-09-21 | 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 | 2018-07-27 | 2018-09-21 | 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 | 2018-07-27 | 2018-09-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-27 | 2018-09-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-07-27 | 2018-09-21 | 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 | 2018-08-02 | 2018-09-14 | 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 | 2018-08-02 | 2018-09-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-02 | 2018-09-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-08-02 | 2018-09-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-02 | 2018-09-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-02 | 2018-09-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-04-11 | 2017-06-09 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-04-11 | 2017-06-09 | N |
| Provide housekeeping and maintenance services. | Health | 2017-04-11 | 2017-06-09 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-04-11 | 2017-06-09 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-11 | 2017-06-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-11 | 2017-06-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-11 | 2017-06-09 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-03-28 | 2017-06-07 | 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 | 2017-03-28 | 2017-06-07 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2017-03-28 | 2017-06-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-03-28 | 2017-06-07 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-04-11 | 2017-06-04 | N |
