CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Complete Care at Jefferson Meadows LLC
View the most recent health deficiencies and inspection results for Complete Care at Jefferson Meadows LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Jefferson Meadows LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-05-13 | 2025-06-10 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-05-13 | 2025-06-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-05-13 | 2025-06-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-13 | 2025-06-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-13 | 2025-06-10 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-05-13 | 2025-06-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-13 | 2025-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-13 | 2025-06-10 | 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 | 2025-05-13 | 2025-06-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-05-13 | 2025-06-10 | 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 | 2025-05-13 | 2025-06-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-05-13 | 2025-06-10 | N |
| Provide activities to meet all resident's needs. | Health | 2025-05-13 | 2025-06-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-05-13 | 2025-06-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-05-13 | 2025-06-10 | Y |
| Install proper backup exit lighting. | Fire Safety | 2025-05-13 | 2025-06-10 | 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 | 2025-05-13 | 2025-06-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-13 | 2025-06-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-13 | 2025-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-13 | 2025-06-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-13 | 2025-06-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-05-13 | 2025-06-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-13 | 2025-06-10 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2025-05-13 | 2025-06-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-13 | 2025-06-10 | 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 and maintain the bed rail. | Health | 2025-01-31 | 2025-02-21 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-14 | 2024-06-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-05-14 | 2024-05-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-14 | 2024-05-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-14 | 2024-05-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-14 | 2024-05-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-05-14 | 2024-05-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-02-27 | 2023-03-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-27 | 2023-03-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-27 | 2023-03-24 | 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 | 2023-02-27 | 2023-03-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-27 | 2023-03-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-02-27 | 2023-03-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-02-27 | 2023-03-13 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-02-27 | 2023-03-07 | 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 | 2023-02-27 | 2023-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-27 | 2023-03-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-27 | 2023-03-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-27 | 2023-02-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-27 | 2023-02-18 | 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 | 2023-02-27 | 2023-02-18 | N |