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Deficiency Records for Complete Care at Inglemoor, LLC
View the most recent health deficiencies and inspection results for Complete Care at Inglemoor, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Inglemoor, LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-11-07 | 2025-12-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-07 | 2025-12-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-11-07 | 2025-12-08 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-03-13 | 2025-04-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-03-13 | 2025-04-15 | 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 | 2025-03-13 | 2025-04-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-03-13 | 2025-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-13 | 2025-04-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-03-13 | 2025-04-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-03-13 | 2025-04-15 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-03-13 | 2025-04-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-13 | 2025-04-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-03-13 | 2025-04-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-13 | 2025-04-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-13 | 2025-04-11 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2025-03-13 | 2025-04-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-03-13 | 2025-04-11 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-03-13 | 2025-04-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-03-13 | 2025-04-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-13 | 2025-04-11 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-03-13 | 2025-04-11 | 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 | 2025-03-13 | 2025-04-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-13 | 2025-04-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-03-13 | 2025-04-11 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-03-13 | 2025-04-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-13 | 2025-04-11 | Y |
| 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 | 2025-03-13 | 2025-04-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-03-13 | 2025-04-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-03-13 | 2025-04-11 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2025-03-13 | 2025-04-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-03-13 | 2025-04-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-03-13 | 2025-04-11 | N |
| Respond appropriately to all alleged violations. | Health | 2025-03-13 | 2025-04-02 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2024-12-03 | 2024-12-04 | Y |
| Dispose of garbage and refuse properly. | Health | 2023-01-26 | 2023-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-26 | 2023-03-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-26 | 2023-03-15 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-01-26 | 2023-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-26 | 2023-03-15 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-01-26 | 2023-03-15 | 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 | 2023-01-26 | 2023-03-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-26 | 2023-03-15 | N |
| Post nurse staffing information every day. | Health | 2023-01-26 | 2023-03-15 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-01-26 | 2023-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-26 | 2023-03-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-26 | 2023-03-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-01-26 | 2023-03-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-26 | 2023-03-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-01-26 | 2023-03-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-05-05 | 2021-07-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-05 | 2021-07-27 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-05-05 | 2021-06-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-05 | 2021-06-11 | 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 | 2021-05-05 | 2021-06-11 | 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 | 2021-05-05 | 2021-06-11 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-05-05 | 2021-06-11 | 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 | 2021-05-05 | 2021-06-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-05 | 2021-06-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-05-05 | 2021-06-11 | N |