A list of the most recent deficiencies for The Care Center On Hazeltine, 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? |
|---|---|---|---|---|
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-10 | 2024-02-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-19 | 2023-12-18 | 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 | 2023-11-19 | 2023-12-18 | 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 | 2023-11-19 | 2023-12-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-19 | 2023-12-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-11-19 | 2023-12-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-19 | 2023-12-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-19 | 2023-12-18 | 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 | 2023-11-19 | 2023-12-18 | 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 | 2023-11-19 | 2023-12-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-19 | 2023-12-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-11-19 | 2023-12-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-19 | 2023-12-18 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-11-20 | 2023-12-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-20 | 2023-12-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-20 | 2023-12-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-07 | 2023-09-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-28 | 2022-10-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-15 | 2022-09-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-12 | 2022-08-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-02 | 2022-03-11 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-01-12 | 2022-02-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-12 | 2022-02-08 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-01-12 | 2022-02-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-12 | 2022-02-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-01-12 | 2022-02-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-12 | 2022-02-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-12 | 2022-02-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-07 | 2022-01-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-01-07 | 2022-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-07 | 2022-01-31 | 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 | 2022-01-07 | 2022-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-07 | 2022-01-31 | N |
| 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 | 2022-01-07 | 2022-01-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-07 | 2022-01-31 | 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 | 2022-01-07 | 2022-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-07 | 2022-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-07 | 2022-01-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-14 | 2021-10-22 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-07-17 | 2019-08-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-17 | 2019-08-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-07-17 | 2019-08-13 | 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 | 2019-07-17 | 2019-08-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-17 | 2019-08-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-17 | 2019-08-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-12 | 2019-08-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-12 | 2019-08-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-12 | 2019-08-11 | 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 | 2019-07-12 | 2019-08-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-12 | 2019-08-11 | 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 | 2019-07-12 | 2019-08-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-12 | 2019-08-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-12 | 2019-08-11 | 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 | 2019-07-12 | 2019-08-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-12 | 2019-08-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-12 | 2019-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-12 | 2019-08-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-07-12 | 2019-08-11 | N |
