A list of the most recent deficiencies for Complete Care at Lehigh 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-08-23 | 2023-10-17 | 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 | 2023-08-23 | 2023-10-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-23 | 2023-10-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-23 | 2023-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-23 | 2023-10-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-23 | 2023-10-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-23 | 2023-10-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-23 | 2023-10-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-16 | 2022-11-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-16 | 2022-11-02 | N |
| Dispose of garbage and refuse properly. | Health | 2022-09-16 | 2022-11-02 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-09-21 | 2022-11-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-21 | 2022-11-02 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-10-29 | 2021-12-15 | 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 | 2021-10-29 | 2021-12-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-29 | 2021-12-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-18 | 2021-12-06 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-10-18 | 2021-12-06 | 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 | 2021-10-18 | 2021-12-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-18 | 2021-12-06 | N |
