CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Country Club Retirement Ctr Iv
View the most recent health deficiencies and inspection results for Country Club Retirement Ctr Iv. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Country Club Retirement Ctr Iv. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2026-03-17 | 2026-04-16 | Y |
| Implement a program that monitors antibiotic use. | Health | 2026-03-17 | 2026-04-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-03-17 | 2026-04-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-03-17 | 2026-04-16 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2026-03-17 | 2026-04-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-03-17 | 2026-04-03 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-03-17 | 2026-04-03 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-03-17 | 2026-04-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-17 | 2026-04-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-17 | 2026-04-03 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2026-01-29 | 2026-02-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-26 | 2026-02-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-11-25 | 2025-12-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-25 | 2025-12-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-11-25 | 2025-12-18 | 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 | 2025-11-25 | 2025-12-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-11-25 | 2025-12-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-11-25 | 2025-12-18 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-08-27 | 2025-09-12 | 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 | 2025-03-12 | 2025-03-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-12 | 2025-03-21 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-30 | 2024-10-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-30 | 2024-10-09 | 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 | 2024-09-30 | 2024-10-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-30 | 2024-10-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-30 | 2024-10-09 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-09-30 | 2024-10-09 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-09-30 | 2024-10-09 | 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 | 2024-09-30 | 2024-10-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-09-30 | 2024-10-09 | 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 | 2024-09-30 | 2024-10-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-09-30 | 2024-10-09 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-09-30 | 2024-10-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-09-30 | 2024-10-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-30 | 2024-10-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-09 | 2023-03-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-09 | 2022-11-29 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-11-09 | 2022-11-29 | 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 | 2022-11-09 | 2022-11-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-09 | 2022-11-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-09 | 2022-11-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-09 | 2022-11-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-09 | 2022-11-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-09 | 2022-11-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-09 | 2022-11-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-18 | 2020-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-18 | 2020-02-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-18 | 2020-02-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-18 | 2020-02-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-12-18 | 2020-02-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-18 | 2020-02-01 | 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 | 2019-12-18 | 2020-02-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-18 | 2020-02-01 | N |
| Provide or obtain dental services for each resident. | Health | 2019-12-18 | 2020-02-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-18 | 2020-02-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-12-18 | 2020-02-01 | N |