A list of the most recent deficiencies for Complete Care at Mercerville 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-16 | 2023-12-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-16 | 2023-11-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-16 | 2023-11-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-16 | 2023-11-30 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-10-16 | 2023-11-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-16 | 2023-11-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-16 | 2023-11-30 | N |
| Post nurse staffing information every day. | Health | 2023-10-16 | 2023-11-30 | 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 | 2023-10-16 | 2023-11-30 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-10-16 | 2023-11-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-10-16 | 2023-11-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-16 | 2023-11-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-16 | 2023-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-16 | 2023-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-16 | 2023-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-06 | 2023-07-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-06 | 2023-07-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-10 | 2022-06-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-10 | 2022-06-01 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-10 | 2022-06-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-28 | 2021-11-03 | 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 | 2019-11-19 | 2019-12-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-11-19 | 2019-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-19 | 2019-12-31 | N |
