A list of the most recent deficiencies for Care One at Randolph. 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? |
|---|---|---|---|---|
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-06-01 | 2023-07-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-01 | 2023-07-16 | 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 | 2023-05-24 | 2023-07-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-24 | 2023-06-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-24 | 2023-06-26 | N |
| Keep all essential equipment working safely. | Health | 2023-05-24 | 2023-06-26 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-24 | 2023-06-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-24 | 2023-06-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-24 | 2023-06-21 | 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 | 2023-05-24 | 2023-06-21 | 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 | 2023-05-24 | 2023-06-21 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-05-24 | 2023-06-21 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-05-24 | 2023-06-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-24 | 2023-06-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-24 | 2023-06-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-24 | 2023-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-24 | 2023-06-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-01 | 2023-06-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-06 | 2023-04-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-06 | 2023-04-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-13 | 2023-03-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-08 | 2020-01-03 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-08 | 2020-01-03 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2019-11-08 | 2020-01-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-08 | 2020-01-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-08 | 2020-01-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-08 | 2020-01-03 | 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 | 2019-11-08 | 2020-01-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-08 | 2020-01-03 | 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 | 2019-11-08 | 2020-01-03 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-12-05 | 2019-01-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-12-05 | 2019-01-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-12-05 | 2019-01-16 | N |
| Use approved construction type or materials. | Fire Safety | 2018-12-05 | 2019-01-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-12-05 | 2019-01-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-05 | 2019-01-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-05 | 2019-01-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-20 | 2019-01-03 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-11-20 | 2019-01-03 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-11-20 | 2019-01-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-20 | 2019-01-03 | 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 | 2018-11-20 | 2019-01-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-20 | 2019-01-03 | N |
| Provide activities to meet all resident's needs. | Health | 2018-11-20 | 2019-01-03 | 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 | 2018-11-20 | 2019-01-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-11-20 | 2019-01-03 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-11-20 | 2019-01-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-20 | 2019-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-20 | 2019-01-03 | N |
