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Deficiency Records for Childrens Comprehensive Care Center Inc

A list of the most recent deficiencies for Childrens Comprehensive Care Center Inc. 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 Childrens Comprehensive Care Center Inc. 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?
Respond appropriately to all alleged violations. Health 2023-11-20 2023-12-20 Y
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-09-07 2023-10-07 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 2023-09-07 2023-10-07 N
Provide enough food/fluids to maintain a resident's health. Health 2023-09-07 2023-10-07 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 2023-09-07 2023-10-07 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2023-09-07 2023-10-07 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 2023-09-07 2023-10-07 N
Dispose of garbage and refuse properly. Health 2023-09-07 2023-10-07 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-09-07 2023-10-07 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-09-07 2023-10-07 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-09-07 2023-10-07 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-09-07 2023-09-22 N
Have proper medical gas storage and administration areas. Fire Safety 2023-09-07 2023-09-22 N
Meet other general requirements. Fire Safety 2022-06-20 2022-09-08 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-06-20 2022-07-20 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-06-20 2022-07-20 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-06-20 2022-07-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-06-20 2022-07-20 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-06-20 2022-07-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-17 2022-07-10 Y
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 2022-06-03 2022-07-03 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 2022-06-03 2022-07-03 N
Provide enough food/fluids to maintain a resident's health. Health 2022-06-03 2022-07-03 N
Post nurse staffing information every day. Health 2022-06-03 2022-07-03 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-06-03 2022-07-03 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 2022-06-03 2022-07-03 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2022-06-03 2022-07-03 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 2022-06-03 2022-07-03 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-06-03 2022-07-03 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2022-06-03 2022-07-03 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-06-03 2022-07-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-06-03 2022-07-03 N
Dispose of garbage and refuse properly. Health 2022-06-03 2022-07-03 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2022-06-03 2022-07-03 N
Perform COVID19 testing on residents and staff. Health 2022-06-03 2022-07-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-06 2021-07-17 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-05-06 2021-06-05 N
Provide enough food/fluids to maintain a resident's health. Health 2021-05-06 2021-06-05 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 2021-05-06 2021-06-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-06 2021-06-05 N
Dispose of garbage and refuse properly. Health 2021-05-06 2021-06-05 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 2021-05-06 2021-06-05 N
Provide and implement an infection prevention and control program. Health 2021-05-06 2021-06-05 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-05-06 2021-06-05 N
Establish staff and initial training requirements. Fire Safety 2021-05-04 2021-06-05 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 2021-05-04 2021-06-05 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-05-04 2021-06-05 N
Have proper medical gas storage and administration areas. Fire Safety 2021-05-04 2021-06-05 N

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