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Deficiency Records for Complete Care at Mercerville LLC
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.
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? |
|---|---|---|---|---|
| Assess the resident when there is a significant change in condition | Health | 2025-05-02 | 2025-06-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-05-02 | 2025-06-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-02 | 2025-06-06 | 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 | 2025-05-02 | 2025-06-06 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-05-02 | 2025-06-06 | 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 | 2025-05-02 | 2025-06-06 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-05-02 | 2025-06-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-02 | 2025-06-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-02 | 2025-06-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-05-02 | 2025-06-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-05-02 | 2025-06-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-05-02 | 2025-06-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-05-02 | 2025-06-03 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-05-02 | 2025-05-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-05-02 | 2025-05-27 | N |
| 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 |
| 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 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 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 |
| 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 |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-16 | 2023-11-15 | N |
| 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 |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-16 | 2023-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-06 | 2023-07-15 | Y |
| 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 | 2022-05-10 | 2022-06-08 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-10 | 2022-06-01 | 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 |
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