CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Complete Care at Germantown
View the most recent health deficiencies and inspection results for Complete Care at Germantown. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Germantown. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-03-05 | 2025-04-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-03-05 | 2025-04-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-03-05 | 2025-04-08 | 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 | 2025-03-05 | 2025-03-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-03-05 | 2025-03-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-03-05 | 2025-03-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-03-05 | 2025-03-25 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2025-03-05 | 2025-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-05 | 2025-03-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-03-05 | 2025-03-24 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2025-03-05 | 2025-03-21 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-03-05 | 2025-03-06 | 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 | 2025-03-05 | 2025-03-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-30 | 2025-03-01 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-01-24 | 2024-09-06 | N |
| Respond appropriately to all alleged violations. | Health | 2024-07-17 | 2024-08-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-17 | 2024-08-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-08 | 2024-06-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-08 | 2024-06-08 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-24 | 2024-02-23 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-01-24 | 2024-02-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-24 | 2024-02-23 | 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 | 2024-01-24 | 2024-02-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-01-24 | 2024-02-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-24 | 2024-02-23 | 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 | 2024-01-24 | 2024-02-23 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-01-24 | 2024-02-23 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-11-07 | 2023-12-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-25 | 2023-11-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-25 | 2023-11-23 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-10-25 | 2023-11-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-25 | 2023-11-23 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-11-07 | 2023-11-23 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-10 | 2022-12-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-10 | 2022-12-08 | N |
| Keep all essential equipment working safely. | Health | 2022-11-10 | 2022-12-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-10 | 2022-12-08 | 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 | 2022-11-10 | 2022-12-08 | 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 | 2022-11-10 | 2022-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-10 | 2022-12-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-10 | 2022-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-10 | 2022-12-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-10 | 2022-12-08 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-11-10 | 2022-12-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-10 | 2022-12-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-10 | 2022-12-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-10 | 2022-12-08 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2025-03-05 | Not Fixed | N |