CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Complete Care at Harston Hall LLC
View the most recent health deficiencies and inspection results for Complete Care at Harston Hall LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Harston Hall LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-01-20 | 2026-03-06 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-09-17 | 2025-10-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-09-17 | 2025-10-10 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-04-25 | 2025-06-23 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-04-25 | 2025-06-23 | 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 | 2025-04-25 | 2025-06-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-25 | 2025-06-23 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-04-25 | 2025-06-23 | 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 | 2025-04-25 | 2025-06-23 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-04-25 | 2025-06-23 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-25 | 2025-06-23 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-04-25 | 2025-06-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-25 | 2025-06-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-25 | 2025-06-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-25 | 2025-06-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-04-25 | 2025-06-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-04-25 | 2025-06-23 | 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 | 2025-04-25 | 2025-06-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-25 | 2025-06-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-25 | 2025-06-23 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-04-25 | 2025-06-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-25 | 2025-06-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-25 | 2025-06-23 | Y |
| Keep all essential equipment working safely. | Health | 2025-04-25 | 2025-06-23 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-04-25 | 2025-06-23 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-04-25 | 2025-06-23 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-04-25 | 2025-06-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-04-25 | 2025-06-10 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2025-04-25 | 2025-06-10 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2025-04-25 | 2025-06-10 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-04-25 | 2025-06-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-21 | 2025-03-10 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-05 | 2024-11-24 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-08-15 | 2024-09-20 | Y |
| Have a Compliance and Ethics Program. | Health | 2024-08-15 | 2024-09-20 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-15 | 2024-09-20 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-08-15 | 2024-09-20 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-06-21 | 2024-08-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-21 | 2024-08-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-06-21 | 2024-08-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-21 | 2024-08-12 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-06-21 | 2024-08-12 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-06-21 | 2024-08-12 | 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 | 2024-06-21 | 2024-08-12 | N |
| Post nurse staffing information every day. | Health | 2024-06-21 | 2024-08-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-06-21 | 2024-08-12 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-06-21 | 2024-08-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-21 | 2024-08-12 | 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 | 2024-06-21 | 2024-08-12 | N |
| Provide activities to meet all resident's needs. | Health | 2024-06-21 | 2024-08-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-06-21 | 2024-08-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-21 | 2024-08-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-06-21 | 2024-08-12 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-06-21 | 2024-08-12 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-06-21 | 2024-08-12 | N |
| 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 | 2024-06-21 | 2024-08-12 | N |
| 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 | 2024-06-21 | 2024-08-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-15 | 2024-08-01 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-08-15 | 2024-08-01 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-09-21 | 2023-11-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-21 | 2023-10-20 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-09-21 | 2023-10-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-21 | 2023-10-20 | 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 | 2023-09-21 | 2023-10-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-21 | 2023-10-20 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-09-21 | 2023-10-20 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-09-21 | 2023-10-20 | N |
| Post nurse staffing information every day. | Health | 2023-09-21 | 2023-10-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-21 | 2023-10-20 | 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 | 2023-09-21 | 2023-10-20 | 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 | 2023-09-21 | 2023-10-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-21 | 2023-10-20 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-21 | 2023-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-21 | 2023-10-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-09-21 | 2023-10-20 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-09-21 | 2023-10-20 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-09-21 | 2023-10-20 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-09-21 | 2023-10-20 | 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 | 2023-09-21 | 2023-10-20 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-09-21 | 2023-10-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-09-21 | 2023-10-20 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-09-21 | 2023-10-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-21 | 2023-10-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-21 | 2023-10-20 | N |
| 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 | 2023-09-21 | 2023-10-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-21 | 2023-10-20 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-09-21 | 2023-10-20 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-09-21 | 2023-10-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-21 | 2023-10-20 | N |
| Respond appropriately to all alleged violations. | Health | 2023-09-21 | 2023-10-20 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-09-21 | 2023-10-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-21 | 2023-10-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-21 | 2023-10-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-21 | 2023-10-20 | 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 | 2023-06-28 | 2023-07-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-10-06 | Not Fixed | Y |