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Deficiency Records for Country Club Center I
View the most recent health deficiencies and inspection results for Country Club Center I. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Country Club Center I. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-17 | 2026-05-21 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-04-17 | 2026-05-21 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-04-17 | 2026-05-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-17 | 2026-05-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-04-17 | 2026-05-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2026-04-17 | 2026-05-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-17 | 2026-05-14 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2026-04-17 | 2026-05-14 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2026-04-17 | 2026-05-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-04-17 | 2026-05-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-04-17 | 2026-05-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-04-17 | 2026-05-13 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2026-04-17 | 2026-05-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-04-17 | 2026-05-13 | Y |
| Provide activities to meet all resident's needs. | Health | 2026-04-17 | 2026-05-13 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2026-02-02 | 2026-02-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-02 | 2026-02-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-02-02 | 2026-02-11 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-12-10 | 2025-12-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-12-10 | 2025-12-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-30 | 2025-07-22 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-06-30 | 2025-07-22 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-05-01 | 2025-05-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-01 | 2025-05-06 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-12-02 | 2024-12-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-12-02 | 2024-12-24 | 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 | 2024-12-02 | 2024-12-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-12-02 | 2024-12-24 | 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 | 2024-12-02 | 2024-12-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-12-02 | 2024-12-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-02 | 2024-12-24 | 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 | 2024-12-02 | 2024-12-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-02 | 2024-12-24 | N |
| Dispose of garbage and refuse properly. | Health | 2024-12-02 | 2024-12-24 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2024-12-02 | 2024-12-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-02 | 2024-12-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-12-02 | 2024-12-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-12-02 | 2024-12-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-24 | 2024-12-24 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-02 | 2024-12-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-12-02 | 2024-12-24 | 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 | 2024-12-02 | 2024-12-24 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2024-12-02 | 2024-12-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-12-02 | 2024-12-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-12-02 | 2024-12-24 | 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 | 2024-12-02 | 2024-12-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-12-02 | 2024-12-24 | N |
| 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 | 2024-12-02 | 2024-12-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-02 | 2024-12-24 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-12-02 | 2024-12-24 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-10-24 | 2024-12-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-11 | 2024-09-25 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-08-09 | 2024-06-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-05 | 2024-06-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-28 | 2024-01-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-28 | 2024-01-13 | Y |
| 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 | 2023-12-28 | 2024-01-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-28 | 2024-01-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-28 | 2024-01-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-28 | 2024-01-13 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-08-16 | 2023-09-01 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-08-16 | 2023-09-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-16 | 2023-09-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-16 | 2023-09-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-28 | 2023-07-10 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-09-21 | 2022-10-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-21 | 2022-10-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-21 | 2022-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-21 | 2022-10-18 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-09-21 | 2022-10-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-21 | 2022-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-21 | 2022-10-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-21 | 2022-10-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-09-21 | 2022-10-18 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-09-21 | 2022-10-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-21 | 2022-10-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-21 | 2022-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-21 | 2022-10-18 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-09-21 | 2022-10-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-11-26 | 2019-12-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-26 | 2019-12-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-26 | 2019-12-19 | N |
| Provide or obtain dental services for each resident. | Health | 2019-11-26 | 2019-12-19 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2019-11-26 | 2019-12-19 | 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 | 2019-11-26 | 2019-12-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-26 | 2019-12-19 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-11-26 | 2019-12-19 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-11-26 | 2019-12-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-26 | 2019-12-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-26 | 2019-12-19 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-11-26 | 2019-12-19 | 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 | 2019-11-26 | 2019-12-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-26 | 2019-12-19 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-11-26 | 2019-12-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-26 | 2019-12-19 | N |