Deficiency Records for Complete Care at West Caldwell LLC
Updated as of January 01, 2020
This is not the most recent data for Complete Care at West Caldwell LLC. For the most recent information, click here.
A list of the most recent deficiencies for Complete Care at West Caldwell 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-25 | 2019-05-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-25 | 2019-05-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-25 | 2019-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-25 | 2019-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-23 | 2018-03-29 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-02-23 | 2018-03-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-23 | 2018-03-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-02-23 | 2018-03-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-02-23 | 2018-03-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-23 | 2018-03-29 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2017-11-30 | 2018-01-02 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-01-13 | 2017-02-05 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-01-13 | 2017-02-05 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-01-13 | 2017-02-05 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-01-13 | 2017-02-05 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-01-13 | 2017-02-05 | N |
