Deficiency Records for Complete Care at West Caldwell LLC
Updated as of July 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-30 | 2023-04-14 | Y |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-03-30 | 2023-04-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-30 | 2023-04-14 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2023-03-30 | 2023-04-14 | N |
| 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 |
