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Deficiency Records for Complete Care at Milford Manor LLC

View the most recent health deficiencies and inspection results for Complete Care at Milford Manor LLC. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Complete Care at Milford Manor LLC. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-06-25 2025-07-25 Y
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2025-03-07 2025-03-10 N
Provide training in compliance and ethics. Health 2025-03-07 2025-03-10 N
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Health 2025-03-07 2025-03-10 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2025-03-07 2025-03-10 N
Provide and implement an infection prevention and control program. Health 2025-03-07 2025-03-10 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-03-07 2025-03-10 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2025-03-07 2025-03-10 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2025-03-07 2025-03-10 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2025-03-07 2025-03-10 N
Provide enough food/fluids to maintain a resident's health. Health 2025-03-07 2025-03-10 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2025-03-07 2025-03-10 N
Keep residents' personal and medical records private and confidential. Health 2025-03-07 2025-03-10 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-03-07 2025-03-10 N
Have simulated fire drills held at unexpected times. Fire Safety 2025-03-07 2025-03-08 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2025-03-07 2025-03-08 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2025-03-07 2025-03-08 N
Provide and implement an infection prevention and control program. Health 2024-01-05 2024-01-26 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-02-18 2023-04-19 N
Install an approved automatic sprinkler system. Fire Safety 2023-02-18 2023-04-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-02-18 2023-03-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-02-18 2023-03-31 N
Ensure medication error rates are not 5 percent or greater. Health 2023-02-18 2023-03-31 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-02-18 2023-03-31 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-02-18 2023-03-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-18 2023-03-31 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-02-18 2023-03-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-18 2023-03-31 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-02-18 2023-03-31 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-02-18 2023-03-31 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-02-18 2023-03-31 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-02-18 2023-03-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-02-18 2023-03-31 N
Have restrictions on the use of portable space heaters. Fire Safety 2023-02-18 2023-03-31 N
Provide and implement an infection prevention and control program. Health 2021-03-08 2021-04-06 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 2021-03-08 2021-03-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-03-08 2021-03-19 N

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