A list of the most recent deficiencies for Complete Care at Monmouth, 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-16 | 2023-12-31 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-16 | 2023-12-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-16 | 2023-12-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-16 | 2023-12-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-16 | 2023-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-31 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-11-16 | 2023-12-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-16 | 2023-12-31 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-11-16 | 2023-12-31 | 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 | 2023-03-21 | 2023-05-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-21 | 2023-05-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-21 | 2023-05-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-21 | 2023-05-21 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-03-21 | 2023-05-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-19 | 2021-09-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-19 | 2021-09-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-19 | 2021-09-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-19 | 2021-09-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-19 | 2021-09-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-23 | 2021-08-12 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-09 | 2019-11-08 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-09-09 | 2019-11-08 | 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 | 2019-09-09 | 2019-11-08 | N |
