A list of the most recent deficiencies for Complete Care at Holiday City. 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 | 2023-03-30 | 2023-04-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-30 | 2023-04-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-30 | 2023-04-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-30 | 2023-04-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-30 | 2023-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-30 | 2023-04-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-30 | 2023-04-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-03-30 | 2023-04-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-30 | 2023-04-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-30 | 2023-04-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-30 | 2023-04-21 | N |
| Have an externally vented heating system. | Fire Safety | 2023-03-30 | 2023-04-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-30 | 2023-04-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-30 | 2023-04-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-30 | 2023-04-17 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-05-12 | 2022-06-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-11 | 2021-06-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-11 | 2021-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-11 | 2021-06-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-05-11 | 2021-06-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-11 | 2021-06-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-11 | 2021-06-11 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-05-11 | 2021-06-11 | N |
