Deficiency Records for Country Club Center I
Updated as of June 01, 2020
This is not the most recent data for Country Club Center I. For the most recent information, click here.
A list of the most recent deficiencies for Country Club Center I. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-11-27 | 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 |
| 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 |
| Ensure each resident receives an accurate assessment. | 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 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 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 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 safe, appropriate pain management for a resident who requires such services. | 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 |
| 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 |
| Provide or obtain dental services for each resident. | 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 |
| 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 |
| 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 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-08 | 2019-06-05 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-05-08 | 2019-06-05 | Y |
| Provide appropriate foot care. | Health | 2019-02-26 | 2019-03-14 | Y |
| 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 | 2019-02-26 | 2019-03-14 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-12 | 2019-01-16 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2018-12-12 | 2019-01-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-12-12 | 2019-01-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-12 | 2019-01-16 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-12-12 | 2019-01-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-12 | 2019-01-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-12 | 2019-01-16 | N |
| Respond appropriately to all alleged violations. | Health | 2018-12-12 | 2019-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-12 | 2019-01-16 | 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 | 2018-12-12 | 2019-01-16 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-12-12 | 2019-01-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-12 | 2019-01-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-12-12 | 2019-01-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-12-12 | 2019-01-16 | 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 ne | Health | 2018-12-12 | 2019-01-16 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedul | Health | 2018-12-12 | 2019-01-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-12 | 2019-01-16 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2018-12-12 | 2019-01-16 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-07-17 | 2018-07-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-07-17 | 2018-07-31 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-07-17 | 2018-07-31 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-07-17 | 2018-07-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-07-17 | 2018-07-31 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-10-12 | 2017-10-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-12 | 2017-10-31 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-12 | 2017-10-31 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-10-12 | 2017-10-31 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-09-14 | 2017-10-12 | Y |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-09-14 | 2017-10-12 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-09-14 | 2017-10-12 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-09-14 | 2017-10-12 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-14 | 2017-10-12 | Y |
