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Deficiency Records for Complete Care at Marcella LLC

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

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

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2025-07-24 2025-09-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2025-07-24 2025-09-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2025-07-24 2025-09-01 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 2025-07-24 2025-09-01 N
Ensure that residents are free from significant medication errors. Health 2025-07-24 2025-09-01 Y
Provide and implement an infection prevention and control program. Health 2025-07-24 2025-09-01 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-01-21 2025-02-21 Y
Provide and implement an infection prevention and control program. Health 2024-06-07 2024-07-05 Y
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2023-11-21 2023-12-21 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-11-21 2023-12-21 N
Ensure each resident receives an accurate assessment. Health 2023-11-21 2023-12-21 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-11-21 2023-12-21 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-11-21 2023-12-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-21 2023-12-21 N
Provide and implement an infection prevention and control program. Health 2023-11-21 2023-12-21 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-11-21 2023-12-21 Y
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-08-11 2021-11-01 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-08-11 2021-11-01 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 2021-08-11 2021-11-01 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2021-08-11 2021-11-01 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2021-08-11 2021-11-01 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-08-11 2021-11-01 N
Ensure medication error rates are not 5 percent or greater. Health 2021-08-11 2021-11-01 N

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