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Deficiency Records for Complete Care at Severna Park LLC

A list of the most recent deficiencies for Complete Care at Severna Park 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 Severna Park 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-17 2023-12-25 Y
Respond appropriately to all alleged violations. Health 2023-11-17 2023-12-25 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-17 2023-12-25 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-11-17 2023-12-25 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-17 2023-12-25 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-11-17 2023-12-25 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-11-17 2023-12-25 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-11-17 2023-12-25 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 2021-07-26 2021-09-10 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-07-26 2021-09-10 N
Prepare residents for a safe transfer or discharge from the nursing home. Health 2021-07-26 2021-09-10 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2021-07-26 2021-09-10 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2021-07-26 2021-09-10 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 2021-07-26 2021-09-10 N
Provide activities to meet all resident's needs. Health 2021-07-26 2021-09-10 N
Assist a resident in gaining access to vision and hearing services. Health 2021-07-26 2021-09-10 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 2021-07-26 2021-09-10 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-07-26 2021-09-10 N
Post nurse staffing information every day. Health 2021-07-26 2021-09-10 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 2021-07-26 2021-09-10 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 2021-07-26 2021-09-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-26 2021-09-10 N
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 2021-07-26 2021-09-10 N
Provide and implement an infection prevention and control program. Health 2021-07-26 2021-09-10 N
Keep all essential equipment working safely. Health 2021-07-26 2021-09-10 N
Put firmly secured handrails on each side of hallways. Health 2021-07-26 2021-09-10 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 2021-07-13 2021-08-20 N
Install proper backup exit lighting. Fire Safety 2021-07-13 2021-08-20 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-07-13 2021-08-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-07-13 2021-08-20 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-07-13 2021-08-20 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-07-13 2021-08-20 N
Have proper medical gas storage and administration areas. Fire Safety 2021-07-13 2021-08-20 N
Keep residents' personal and medical records private and confidential. Health 2018-08-22 2018-10-01 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 2018-08-22 2018-10-01 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2018-08-22 2018-10-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-08-22 2018-10-01 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-08-22 2018-10-01 N
Provide and implement an infection prevention and control program. Health 2018-08-22 2018-10-01 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 2018-08-23 2018-09-10 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 2018-08-23 2018-09-10 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-08-23 2018-09-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-08-23 2018-09-10 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2017-05-18 2017-07-15 N
Keep residents' personal and medical records private and confidential. Health 2017-05-18 2017-07-15 N
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Health 2017-05-18 2017-07-15 N
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. Health 2017-05-18 2017-07-15 N
Provide housekeeping and maintenance services. Health 2017-05-18 2017-07-15 N
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2017-05-18 2017-07-15 N
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Health 2017-05-18 2017-07-15 N
Have a program that investigates, controls and keeps infection from spreading. Health 2017-05-18 2017-07-15 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2017-05-11 2017-07-07 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 2017-05-11 2017-07-07 N
Install an approved automatic sprinkler system. Fire Safety 2017-05-11 2017-07-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2017-05-11 2017-07-07 N
Have power receptacles that are properly grounded. Fire Safety 2017-05-11 2017-07-07 N

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