A list of the most recent deficiencies for Complete Care at Berkshire 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-12-21 | 2024-03-04 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-12-21 | 2024-02-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-21 | 2024-02-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-15 | 2024-02-13 | 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 | 2023-12-15 | 2024-02-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-15 | 2024-02-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-15 | 2024-02-13 | N |
| Use approved construction type or materials. | Fire Safety | 2023-01-26 | 2023-03-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-26 | 2023-03-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-26 | 2023-03-13 | 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 | 2023-01-26 | 2023-03-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-26 | 2023-03-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-26 | 2023-03-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-26 | 2023-03-13 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-01-26 | 2023-03-13 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-01-26 | 2023-03-13 | N |
| Meet other general requirements. | Fire Safety | 2023-01-26 | 2023-03-13 | 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 | 2023-01-13 | 2023-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-13 | 2023-02-28 | N |
| Dispose of garbage and refuse properly. | Health | 2023-01-13 | 2023-02-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-02 | 2022-06-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-28 | 2022-03-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-01-13 | 2022-03-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-13 | 2022-03-12 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-01-13 | 2022-03-12 | N |
