A list of the most recent deficiencies for Complete Care at Marcella, 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? |
|---|---|---|---|---|
| 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 |
| 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 | 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 |
| 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 |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-11-18 | 2023-01-10 | Y |
| 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 |
| 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 |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-11 | 2021-11-01 | N |
| 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 |
| 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 | 2019-09-18 | 2019-10-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-18 | 2019-10-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-09-18 | 2019-10-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-18 | 2019-10-24 | N |
