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Deficiency Records for Countryview Care Center-Macomb

A list of the most recent deficiencies for Countryview Care Center-Macomb. 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 Countryview Care Center-Macomb. 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?
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2024-07-26 2024-08-16 Y
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2024-07-26 2024-08-16 Y
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 2024-07-26 2024-08-16 Y
Ensure that residents are free from significant medication errors. Health 2024-05-14 2024-06-10 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2024-04-18 2024-05-10 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-10-18 2023-11-08 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-10-18 2023-11-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-10-18 2023-11-08 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 2023-10-18 2023-11-08 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-10-18 2023-11-08 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 2023-10-18 2023-11-08 N
Provide or obtain dental services for each resident. Health 2023-10-18 2023-11-08 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2023-10-18 2023-11-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-18 2023-11-08 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-10-18 2023-11-08 N
Conduct testing and exercise requirements. Fire Safety 2023-10-18 2023-11-08 N
Have exits that are accessible at all times. Fire Safety 2023-10-18 2023-11-08 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-10-18 2023-11-08 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 2023-10-18 2023-11-08 N
Provide properly protected cooking facilities. Fire Safety 2023-10-18 2023-11-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-10-18 2023-11-08 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-10-18 2023-11-08 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-10-18 2023-11-08 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-10-18 2023-11-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-10-18 2023-11-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-24 2023-09-11 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2023-08-24 2023-09-11 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-08-24 2023-09-11 Y
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2023-08-24 2023-09-11 Y
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2023-08-24 2023-09-11 Y
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-08-24 2023-09-11 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-06-13 2023-06-28 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-04-05 2023-04-30 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-02-23 2023-03-18 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-10-29 2023-01-06 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-09-21 2023-01-06 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-09-21 2022-12-15 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-09-21 2022-12-15 N
Respond appropriately to all alleged violations. Health 2022-09-21 2022-12-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-09-21 2022-12-15 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 2022-09-21 2022-12-15 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-09-21 2022-12-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-09-21 2022-12-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-21 2022-12-15 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-09-21 2022-12-15 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 2022-09-21 2022-12-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-21 2022-12-15 N
Provide enough food/fluids to maintain a resident's health. Health 2022-09-21 2022-12-15 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 2022-09-21 2022-12-15 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 2022-09-21 2022-12-15 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 2022-09-21 2022-12-15 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2022-09-21 2022-12-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-21 2022-12-15 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-09-21 2022-12-15 N
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2022-09-21 2022-12-15 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2022-09-21 2022-12-15 N
Provide and implement an infection prevention and control program. Health 2022-09-21 2022-12-15 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2022-09-21 2022-12-15 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-09-21 2022-12-15 N
Ensure staff are vaccinated for COVID-19 Health 2022-09-21 2022-12-15 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-09-21 2022-12-15 N
Establish staff and initial training requirements. Fire Safety 2022-09-21 2022-10-28 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-09-21 2022-10-28 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 2022-09-21 2022-10-28 N
Install an approved automatic sprinkler system. Fire Safety 2022-09-21 2022-10-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-09-21 2022-10-28 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-09-21 2022-10-28 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-09-21 2022-10-28 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-09-28 2022-10-26 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-09-14 2022-10-03 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-09-02 2022-10-03 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-09-02 2022-10-03 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-08 2022-07-29 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-10 2022-06-25 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-29 2022-06-20 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-02-06 2022-03-03 Y
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2022-02-06 2022-03-03 Y
Ensure staff are vaccinated for COVID-19 Health 2022-02-06 2022-03-03 Y
Provide activities to meet all resident's needs. Health 2021-12-22 2022-01-01 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-11-17 2021-11-24 Y
Address patient/client population and determine types of services needed. Fire Safety 2021-08-04 2021-09-02 N
Address subsistence needs for staff and patients. Fire Safety 2021-08-04 2021-09-02 N
Provide emergency officials' contact information. Fire Safety 2021-08-04 2021-09-02 N
Establish methods for sharing information. Fire Safety 2021-08-04 2021-09-02 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2021-08-04 2021-09-02 N
Provide family notifications of emergency plan. Fire Safety 2021-08-04 2021-09-02 N
Establish staff and initial training requirements. Fire Safety 2021-08-04 2021-09-02 N
Conduct testing and exercise requirements. Fire Safety 2021-08-04 2021-09-02 N
Implement emergency and standby power systems. Fire Safety 2021-08-04 2021-09-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-08-04 2021-09-02 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-08-04 2021-09-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-08-04 2021-09-02 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-08-05 2021-08-20 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 2021-08-05 2021-08-20 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2021-08-05 2021-08-20 N

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