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Deficiency Records for Circle of Care
View the most recent health deficiencies and inspection results for Circle of Care. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Circle of Care. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have proper power supply for life support equipment. | Fire Safety | 2025-04-09 | 2026-01-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-12 | 2025-07-14 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-04-09 | 2025-05-15 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2025-04-09 | 2025-05-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-04-09 | 2025-05-15 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2025-04-09 | 2025-05-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-04-09 | 2025-05-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-04-09 | 2025-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-09 | 2025-05-15 | 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 | 2025-04-09 | 2025-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-09 | 2025-05-15 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-04-09 | 2025-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-09 | 2025-05-15 | N |
| Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist. | Health | 2025-04-09 | 2025-05-15 | 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 | 2025-04-09 | 2025-05-15 | 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 | 2025-04-09 | 2025-05-15 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-04-09 | 2025-05-15 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-04-09 | 2025-05-15 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-04-09 | 2025-05-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-09 | 2025-05-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-09 | 2025-05-15 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-04-09 | 2025-05-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-09 | 2025-05-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-04-09 | 2025-05-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-04-09 | 2025-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-09 | 2025-05-15 | 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 | 2024-04-23 | 2024-05-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-03 | 2023-08-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-02 | 2022-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-02 | 2022-05-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-02 | 2022-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-02 | 2022-05-31 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-05-02 | 2022-05-31 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-02 | 2022-05-31 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-05-02 | 2022-05-31 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-05-02 | 2022-05-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-02 | 2022-05-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-02 | 2022-05-31 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-05-02 | 2022-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-02 | 2022-05-31 | N |
| Report COVID19 data to residents and families. | Health | 2022-05-02 | 2022-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-03 | 2019-08-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-07-03 | 2019-08-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-03 | 2019-08-28 | 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 | 2019-07-03 | 2019-08-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-07-03 | 2019-08-28 | 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 | 2019-07-03 | 2019-08-28 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-07-03 | 2019-08-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-03 | 2019-08-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-03 | 2019-08-28 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-07-03 | 2019-08-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-03 | 2019-08-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-03 | 2019-08-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-03 | 2019-08-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-07-03 | 2019-08-28 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-07-03 | 2019-08-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-03 | 2019-08-28 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-07-03 | 2019-08-28 | N |
| Have a properly installed and maintained dumbwaiter or escalator. | Fire Safety | 2019-07-03 | 2019-08-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-03 | 2019-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-03 | 2019-08-28 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-07-03 | 2019-08-28 | 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 | 2019-07-03 | 2019-08-28 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-07-03 | 2019-08-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-03 | 2019-08-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-07-03 | 2019-08-28 | 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 | 2019-07-03 | 2019-08-28 | 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 | 2019-07-03 | 2019-08-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-07-03 | 2019-08-28 | N |