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Deficiency Records for Community Convalescent Center
A list of the most recent deficiencies for Community Convalescent Center. 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 Community Convalescent Center. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-06 | 2024-03-08 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-02-06 | 2024-03-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-06 | 2024-03-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-06 | 2024-03-08 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-17 | 2023-10-14 | 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 | 2023-07-19 | 2023-08-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-19 | 2023-08-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-07-19 | 2023-08-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-19 | 2023-08-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-19 | 2023-08-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-19 | 2023-08-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-19 | 2023-08-19 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-19 | 2023-08-19 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-17 | 2023-08-19 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-07-17 | 2023-08-19 | N |
| Develop a communication plan. | Fire Safety | 2023-07-17 | 2023-08-19 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-07-17 | 2023-08-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-17 | 2023-08-19 | 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 | 2023-07-17 | 2023-08-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-17 | 2023-08-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-17 | 2023-08-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-17 | 2023-08-19 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-08-06 | 2021-09-06 | 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 | 2021-08-06 | 2021-09-06 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-08-06 | 2021-09-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-06 | 2021-09-06 | 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 | 2021-08-06 | 2021-09-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-06 | 2021-09-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-06 | 2021-09-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-04 | 2021-09-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-04 | 2021-09-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-04 | 2021-09-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-04 | 2021-09-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-04 | 2021-08-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-08-07 | 2019-09-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-07 | 2019-09-06 | 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 | 2019-08-07 | 2019-09-06 | N |
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