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Deficiency Records for Complete Care at Dawnview LLC

A list of the most recent deficiencies for Complete Care at Dawnview LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Complete Care at Dawnview 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-04-10 2024-06-14 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-04-10 2024-06-14 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-04-10 2024-06-14 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-01-10 2023-03-02 N
Keep residents' personal and medical records private and confidential. Health 2023-01-10 2023-03-02 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 2023-01-10 2023-03-02 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-01-10 2023-03-02 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 2023-01-10 2023-03-02 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-01-10 2023-03-02 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-01-10 2023-03-02 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-01-10 2023-03-02 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 2023-01-10 2023-03-02 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2023-01-10 2023-03-02 N
Ensure medication error rates are not 5 percent or greater. Health 2023-01-10 2023-03-02 N
Ensure that residents are free from significant medication errors. Health 2023-01-10 2023-03-02 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 2023-01-10 2023-03-02 N
Provide and implement an infection prevention and control program. Health 2023-01-10 2023-03-02 N
Keep all essential equipment working safely. Health 2023-01-10 2023-03-02 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-16 2022-09-24 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-08-16 2022-09-24 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-09-15 2021-11-12 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-09-15 2021-11-12 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2021-09-15 2021-11-12 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 2021-09-15 2021-11-12 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-09-15 2021-11-12 N
Ensure each resident receives an accurate assessment. Health 2021-09-15 2021-11-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-09-15 2021-11-12 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2021-09-15 2021-11-12 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-09-15 2021-11-12 N
Post nurse staffing information every day. Health 2021-09-15 2021-11-12 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 2021-09-15 2021-11-12 N
Provide and implement an infection prevention and control program. Health 2021-09-15 2021-11-12 N
Keep all essential equipment working safely. Health 2021-09-15 2021-11-12 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-09-15 2021-11-12 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2019-06-06 2019-08-15 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 2019-06-06 2019-08-15 N
Ensure each resident receives an accurate assessment. Health 2019-06-06 2019-08-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-06-06 2019-08-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-06-06 2019-08-15 N
Assist a resident in gaining access to vision and hearing services. Health 2019-06-06 2019-08-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-06-06 2019-08-15 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 2019-06-06 2019-08-15 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 2019-06-06 2019-08-15 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 2019-06-06 2019-08-15 N
Provide and implement an infection prevention and control program. Health 2019-06-06 2019-08-15 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2019-06-06 2019-08-15 N

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