Deficiency Records for Complete Care at Harston Hall LLC
Updated as of February 01, 2019
This is not the most recent data for Complete Care at Harston Hall LLC. For the most recent information, click here.
A list of the most recent deficiencies for Complete Care at Harston Hall LLC. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-15 | 2018-10-03 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-08-15 | 2018-10-03 | 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 | 2018-08-15 | 2018-10-03 | 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 | 2018-08-15 | 2018-10-03 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-08-15 | 2018-10-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-15 | 2018-10-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-15 | 2018-10-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-15 | 2018-10-03 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2018-08-15 | 2018-10-03 | 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 | 2018-08-15 | 2018-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-15 | 2018-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-15 | 2018-10-03 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-08-15 | 2018-10-03 | N |
| Provide activities to meet all resident's needs. | Health | 2018-07-19 | 2018-09-04 | Y |
| Provide activities to meet all resident's needs. | Health | 2018-03-29 | 2018-05-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-01-20 | 2018-03-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-01-20 | 2018-03-07 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-01-20 | 2018-03-07 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-11-26 | 2017-12-20 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-09-21 | 2017-11-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-09-21 | 2017-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-21 | 2017-11-07 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-08 | 2017-11-07 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-08 | 2017-11-07 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-08 | 2017-11-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-08 | 2017-11-07 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-08 | 2017-11-07 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-04-13 | 2017-05-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-13 | 2017-05-23 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-04 | 2017-01-11 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-10-03 | 2016-11-16 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-10-03 | 2016-11-16 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-10-03 | 2016-11-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-03 | 2016-11-16 | N |
| 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 | 2016-10-03 | 2016-11-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-10-03 | 2016-11-16 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-10-03 | 2016-11-16 | N |
| Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2016-10-03 | 2016-11-16 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-06-27 | 2016-08-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-27 | 2016-08-11 | Y |
