Deficiency Records for Complete Care at Hagerstown
Updated as of April 01, 2021
This is not the most recent data for Complete Care at Hagerstown. For the most recent information, click here.
A list of the most recent deficiencies for Complete Care at Hagerstown. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-10-14 | 2020-12-16 | Y |
| Report COVID19 data to residents and families. | Health | 2020-10-14 | 2020-12-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-07-23 | 2020-10-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-07-23 | 2020-10-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-23 | 2020-10-12 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2020-07-23 | 2020-10-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-07-23 | 2020-08-13 | 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 | 2020-07-23 | 2020-08-13 | Y |
| Report COVID19 data to residents and families. | Health | 2020-07-23 | 2020-08-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-19 | 2019-06-26 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-06-19 | 2019-06-26 | 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 | 2019-06-19 | 2019-06-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-06-19 | 2019-06-26 | Y |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2019-06-19 | 2019-06-26 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-06-19 | 2019-06-26 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-05-24 | 2018-05-25 | 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 | 2018-05-24 | 2018-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-24 | 2018-05-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-05-24 | 2018-05-25 | N |
