A list of the most recent deficiencies for North Central Care Center. 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 nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-10-24 | 2023-11-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-28 | 2023-04-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-28 | 2023-04-12 | 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 | 2023-02-28 | 2023-04-12 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-02-28 | 2023-04-12 | 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 | 2023-02-28 | 2023-04-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-28 | 2023-04-12 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-02-28 | 2023-04-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-28 | 2023-04-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-28 | 2023-04-12 | 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 | 2023-02-28 | 2023-04-12 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-02-22 | 2023-03-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-22 | 2023-03-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-22 | 2023-03-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-22 | 2023-03-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-22 | 2023-03-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-22 | 2023-03-28 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-02-22 | 2023-03-28 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-02-22 | 2023-03-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-22 | 2023-03-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-22 | 2023-03-28 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-02-22 | 2023-03-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-27 | 2022-11-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-27 | 2022-11-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-27 | 2022-11-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-12 | 2022-06-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-15 | 2022-04-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-18 | 2022-02-28 | 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 | 2022-01-18 | 2022-02-28 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-01-18 | 2022-02-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-18 | 2022-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-02 | 2021-09-29 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-02 | 2021-09-29 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-04-27 | 2021-05-20 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-04-27 | 2021-05-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-27 | 2021-05-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-27 | 2021-05-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-08 | 2021-05-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-08 | 2021-05-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-04-08 | 2021-05-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-08 | 2021-05-20 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-05 | 2019-11-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-05 | 2019-11-11 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-09-05 | 2019-10-18 | 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 | 2019-09-05 | 2019-10-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-05 | 2019-10-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-05 | 2019-10-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-05 | 2019-10-18 | 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 | 2019-09-05 | 2019-10-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-05 | 2019-10-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-05 | 2019-10-18 | 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 | 2019-09-05 | 2019-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-05 | 2019-10-18 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-09-05 | 2019-10-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-09-05 | 2019-10-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-05 | 2019-10-18 | 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 | 2019-09-05 | 2019-10-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-05 | 2019-10-18 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-09-05 | 2019-10-18 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-09-05 | 2019-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-05 | 2019-10-18 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-09-05 | 2019-10-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-09-05 | 2019-10-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-05 | 2019-10-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-09-05 | 2019-10-10 | 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 | 2019-09-05 | 2019-10-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-05 | 2019-10-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-05 | 2019-10-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-05 | 2019-10-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-17 | 2018-11-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-17 | 2018-11-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-17 | 2018-11-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-17 | 2018-11-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-17 | 2018-11-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-17 | 2018-11-26 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-10-17 | 2018-11-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-17 | 2018-11-26 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-10-17 | 2018-11-26 | 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 | 2018-10-17 | 2018-11-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-17 | 2018-11-26 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2018-10-17 | 2018-11-26 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-10-16 | 2018-11-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-10-16 | 2018-11-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-10-16 | 2018-11-15 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-10-16 | 2018-11-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-10-16 | 2018-11-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-10-16 | 2018-11-15 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-10-16 | 2018-11-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-16 | 2018-11-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-16 | 2018-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-16 | 2018-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-16 | 2018-11-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-10-16 | 2018-11-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-10-16 | 2018-10-31 | N |
