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Deficiency Records for Country Club Rehab and Healthcare Center

View the most recent health deficiencies and inspection results for Country Club Rehab and Healthcare Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Country Club Rehab and Healthcare Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2025-03-14 2025-04-22 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 2025-03-14 2025-04-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-03-14 2025-04-22 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2025-03-14 2025-04-22 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2025-03-14 2025-04-22 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2025-03-14 2025-04-22 N
Provide and implement an infection prevention and control program. Health 2025-03-14 2025-04-22 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2025-03-14 2025-04-22 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2025-03-14 2025-04-22 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2025-03-14 2025-04-22 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2025-03-14 2025-04-22 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-03-14 2025-04-22 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-03-14 2025-04-22 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2025-03-14 2025-04-22 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2025-03-14 2025-04-22 N
Have simulated fire drills held at unexpected times. Fire Safety 2025-03-14 2025-04-22 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-10-08 2024-07-30 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-10-08 2024-07-30 Y
Provide and implement an infection prevention and control program. Health 2024-04-04 2024-05-01 Y
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2023-10-30 2023-12-14 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-10-30 2023-12-14 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-10-30 2023-12-14 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-08-11 2023-09-15 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-08-11 2023-09-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-11 2023-09-15 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 2023-08-11 2023-09-15 N
Provide enough food/fluids to maintain a resident's health. Health 2023-08-11 2023-09-15 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-08-11 2023-09-15 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-08-11 2023-09-15 N
Have enough outside ventilation via a window or mechanical ventilation, or both. Health 2023-08-11 2023-09-15 N
Provide and implement an infection prevention and control program. Health 2023-08-11 2023-09-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-11 2023-09-15 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-08-11 2023-09-15 N
Post nurse staffing information every day. Health 2023-08-11 2023-09-15 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-08-11 2023-09-15 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 2023-08-11 2023-09-15 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-08-11 2023-09-15 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-08-11 2023-09-15 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 2023-08-11 2023-09-15 N
Provide properly protected cooking facilities. Fire Safety 2023-08-11 2023-09-15 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2023-08-11 2023-09-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-08-11 2023-09-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-11 2023-09-15 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-08-11 2023-09-15 N
Have proper medical gas storage and administration areas. Fire Safety 2023-08-11 2023-09-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-11 2023-09-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-08-11 2023-09-15 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2023-08-11 2023-09-15 N
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2023-08-11 2023-09-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-08 2023-07-10 Y
Ensure that residents are free from significant medication errors. Health 2022-02-16 2022-04-15 N
Ensure medication error rates are not 5 percent or greater. Health 2022-02-16 2022-04-15 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-02-16 2022-03-31 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-16 2022-03-31 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-02-16 2022-03-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-16 2022-03-31 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 2022-02-16 2022-03-31 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-02-16 2022-03-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-16 2022-03-31 N
Provide and implement an infection prevention and control program. Health 2022-02-16 2022-03-31 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 2022-02-16 2022-03-31 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 (including nights and weekends) and emergencies. Health 2022-02-16 2022-03-31 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-02-16 2022-03-31 N
Assess the resident when there is a significant change in condition Health 2022-02-16 2022-03-31 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-02-16 2022-03-31 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 2022-02-16 2022-03-31 N
Assure the security of all personal funds of residents deposited with the facility. Health 2022-02-16 2022-03-31 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2022-02-16 2022-03-31 N
Honor the resident's right to manage his or her financial affairs. Health 2022-02-16 2022-03-31 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-02-16 2022-03-31 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 2022-02-16 2022-03-31 N
Provide properly protected cooking facilities. Fire Safety 2022-02-16 2022-03-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-02-16 2022-03-31 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-02-16 2022-03-31 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-02-16 2022-03-31 N

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