CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Complete Care at Orange Park
View the most recent health deficiencies and inspection results for Complete Care at Orange Park. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Orange Park. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2025-09-24 | 2025-11-18 | 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 | 2025-09-24 | 2025-11-14 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-09-24 | 2025-11-14 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-09-24 | 2025-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-24 | 2025-11-14 | 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 | 2025-09-24 | 2025-11-14 | 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 | 2025-09-24 | 2025-11-14 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-09-24 | 2025-11-14 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-09-24 | 2025-10-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-09-24 | 2025-09-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-09-24 | 2025-09-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-24 | 2025-09-25 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-09-24 | 2025-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-15 | 2025-08-20 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-09 | 2024-05-30 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-05-09 | 2024-05-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-05-09 | 2024-05-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-09 | 2024-05-28 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-05-09 | 2024-05-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-09 | 2024-05-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-09 | 2024-05-28 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-05-09 | 2024-05-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-09 | 2024-05-23 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-05-09 | 2024-05-23 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-05-09 | 2024-05-23 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2022-02-09 | 2022-05-12 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2022-02-09 | 2022-05-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-09 | 2022-05-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-09 | 2022-05-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-09 | 2022-05-09 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2022-02-09 | 2022-04-18 | 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 | 2022-02-09 | 2022-04-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-09 | 2022-04-18 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-02-09 | 2022-04-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-09 | 2022-04-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-02-09 | 2022-04-14 | 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 | 2022-02-09 | 2022-04-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-02-09 | 2022-04-13 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-02-09 | 2022-04-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-02-09 | 2022-04-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-09 | 2022-04-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-09 | 2022-04-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-09 | 2022-04-08 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-02-09 | 2022-04-08 | N |
| Keep all essential equipment working safely. | Health | 2022-02-09 | 2022-04-08 | 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 | 2022-02-09 | 2022-02-22 | N |