A list of the most recent deficiencies for Complete Care at Green Knoll. 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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-24 | 2023-06-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-24 | 2023-06-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-24 | 2023-06-12 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-29 | 2022-11-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-09-29 | 2022-11-08 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-09-29 | 2022-11-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-09-29 | 2022-11-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-29 | 2022-11-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-29 | 2022-11-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-29 | 2022-11-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-29 | 2022-11-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-29 | 2022-11-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-13 | 2020-04-22 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-02-13 | 2020-04-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-13 | 2020-04-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-13 | 2020-04-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-13 | 2020-04-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-13 | 2020-04-22 | 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 | 2020-02-13 | 2020-04-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-04-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-13 | 2019-04-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-13 | 2019-04-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-03-13 | 2019-04-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-13 | 2019-04-17 | 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 | 2019-03-13 | 2019-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-13 | 2019-04-17 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2019-03-13 | 2019-04-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-13 | 2019-04-17 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-03-13 | 2019-04-17 | N |
