CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Complete Care at Nazareth LLC
View the most recent health deficiencies and inspection results for Complete Care at Nazareth LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Nazareth LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-04-02 | 2026-05-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2026-04-02 | 2026-04-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-04-02 | 2026-04-27 | 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 | 2026-04-02 | 2026-04-27 | 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 | 2026-04-02 | 2026-04-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2026-04-02 | 2026-04-27 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2026-04-02 | 2026-04-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-04-02 | 2026-04-27 | N |
| Dispose of garbage and refuse properly. | Health | 2026-04-02 | 2026-04-27 | N |
| Develop a communication plan. | Fire Safety | 2026-04-02 | 2026-04-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-02 | 2026-04-27 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-04-02 | 2026-04-27 | 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 | 2026-04-02 | 2026-04-27 | 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 | 2026-04-02 | 2026-04-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-04-02 | 2026-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-04-02 | 2026-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-04-02 | 2026-04-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-04-02 | 2026-04-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-04-02 | 2026-04-27 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-04-02 | 2025-04-21 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2025-01-09 | 2025-02-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-01-09 | 2025-02-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-09 | 2025-02-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-09 | 2025-02-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-01-09 | 2025-02-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-09 | 2025-02-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-09 | 2025-02-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-09 | 2025-02-03 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-09 | 2025-02-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-09 | 2025-02-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-01-09 | 2025-02-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-01-09 | 2025-02-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-09 | 2025-02-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-09 | 2025-02-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-09 | 2025-02-03 | N |
| Construct fire resistant interior walls. | Fire Safety | 2025-01-09 | 2025-02-03 | 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 | 2025-01-09 | 2025-02-03 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-01-09 | 2025-02-03 | 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 | 2025-01-09 | 2025-02-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-30 | 2024-11-11 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-30 | 2024-01-25 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-11-30 | 2024-01-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-30 | 2024-01-25 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-11-30 | 2024-01-12 | 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 | 2023-11-30 | 2024-01-12 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-11-30 | 2024-01-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-30 | 2023-12-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-30 | 2023-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2023-12-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-30 | 2023-12-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-30 | 2023-12-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-30 | 2023-12-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-30 | 2023-12-27 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-30 | 2023-12-27 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-11-30 | 2023-12-27 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2023-11-30 | 2023-12-27 | 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 | 2023-11-30 | 2023-12-27 | 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 | 2023-11-30 | 2023-12-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-30 | 2023-12-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-30 | 2023-12-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-20 | 2023-08-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-20 | 2023-08-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-20 | 2023-08-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-20 | 2023-08-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-20 | 2023-06-16 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-11-30 | Not Fixed | N |