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Deficiency Records for Complete Care at Multi Medical Center LLC
A list of the most recent deficiencies for Complete Care at Multi Medical Center LLC. 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 Complete Care at Multi Medical Center 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-11-07 | 2025-01-02 | N |
| Meet other general requirements. | Fire Safety | 2024-11-07 | 2025-01-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-11-07 | 2025-01-02 | 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 | 2024-11-07 | 2025-01-02 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-11-07 | 2025-01-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-07 | 2025-01-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-07 | 2025-01-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-07 | 2025-01-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-11-07 | 2025-01-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-11-07 | 2025-01-02 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-11-07 | 2025-01-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-07 | 2025-01-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-11-07 | 2025-01-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-07 | 2025-01-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-11-07 | 2025-01-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-08 | 2024-12-20 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-11-08 | 2024-12-20 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-11-08 | 2024-12-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-08 | 2024-12-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-08 | 2024-12-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-08 | 2024-12-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-11-08 | 2024-12-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-11-08 | 2024-12-20 | 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 | 2024-11-08 | 2024-12-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-08 | 2024-12-20 | 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 | 2024-11-08 | 2024-12-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-05 | 2019-09-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-09-05 | 2019-09-27 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-08-23 | 2019-09-20 | 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 | 2019-08-23 | 2019-09-20 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-08-23 | 2019-09-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-23 | 2019-09-20 | 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 | 2019-08-23 | 2019-09-20 | 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 | 2019-08-23 | 2019-09-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-23 | 2019-09-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-23 | 2019-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-23 | 2019-09-20 | N |
| Keep all essential equipment working safely. | Health | 2019-08-23 | 2019-09-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-08-23 | 2019-09-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-03 | 2018-05-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-03 | 2018-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-03 | 2018-05-23 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-05-03 | 2018-05-23 | 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 | 2018-05-03 | 2018-05-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-05-03 | 2018-05-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-03 | 2018-05-23 | N |
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