A list of the most recent deficiencies for Country Club Center V, Inc. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2023-05-17 | 2023-05-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-04 | 2023-01-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-04 | 2023-01-23 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-01-04 | 2023-01-23 | Y |
| 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 | 2023-01-04 | 2023-01-23 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-01-04 | 2023-01-23 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-01-04 | 2023-01-23 | 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 | 2022-08-02 | 2022-08-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-12 | 2022-05-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-12 | 2022-05-27 | Y |
| Install proper backup exit lighting. | Fire Safety | 2022-05-09 | 2022-05-27 | 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 | 2022-05-09 | 2022-05-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-09 | 2022-05-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-09 | 2022-05-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-15 | 2019-10-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-15 | 2019-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-15 | 2019-10-03 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-15 | 2019-10-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-08-15 | 2019-10-03 | N |
| Dispose of garbage and refuse properly. | Health | 2019-08-15 | 2019-09-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-03 | 2018-09-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-03 | 2018-09-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-03 | 2018-09-03 | 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 | 2018-07-03 | 2018-09-03 | 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 | 2018-07-03 | 2018-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-03 | 2018-09-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-07-03 | 2018-09-03 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-07-09 | 2018-09-03 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-07-09 | 2018-09-03 | N |
