Deficiency Records for Complete Care at West Caldwell LLC
Updated as of March 01, 2023
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? |
---|---|---|---|---|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-29 | 2022-08-15 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-10-30 | 2020-11-13 | N |
Provide and implement an infection prevention and control program. | Health | 2020-10-30 | 2020-11-13 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-07-24 | 2020-08-27 | Y |
Respond appropriately to all alleged violations. | Health | 2020-07-24 | 2020-08-27 | Y |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-07-24 | 2020-08-27 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-07-24 | 2020-08-27 | Y |
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 | 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 |
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 |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 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 |
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 |