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Deficiency Records for Complete Care at Hagerstown

A list of the most recent deficiencies for Complete Care at Hagerstown. 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 Hagerstown. 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?
Install proper backup exit lighting. Fire Safety 2021-06-29 2021-08-09 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-06-29 2021-08-09 N
Have an enclosure around a vertical opening shaft. Fire Safety 2021-06-29 2021-08-09 N
Ensure medical gas and vacuum systems have documented maintenance programs. Fire Safety 2021-06-29 2021-08-09 N
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. Fire Safety 2021-06-29 2021-08-09 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-06-29 2021-08-09 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2021-06-29 2021-08-09 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 2021-07-02 2021-08-03 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-07-02 2021-08-03 N
Respond appropriately to all alleged violations. Health 2021-07-02 2021-08-03 N
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 2021-07-02 2021-08-03 N
Prepare residents for a safe transfer or discharge from the nursing home. Health 2021-07-02 2021-08-03 N
Ensure each resident receives an accurate assessment. Health 2021-07-02 2021-08-03 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-07-02 2021-08-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-07-02 2021-08-03 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 2021-07-02 2021-08-03 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-07-02 2021-08-03 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2021-07-02 2021-08-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-07-02 2021-08-03 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-07-02 2021-08-03 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2021-07-02 2021-08-03 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-07-02 2021-08-03 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 2021-07-02 2021-08-03 N
Ensure medication error rates are not 5 percent or greater. Health 2021-07-02 2021-08-03 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 2021-07-02 2021-08-03 N
Provide routine and 24-hour emergency dental care for each resident. Health 2021-07-02 2021-08-03 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-07-02 2021-08-03 N
Provide and implement an infection prevention and control program. Health 2021-07-02 2021-08-03 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2021-07-02 2021-08-03 N
Have enough backup water supply for essential areas of the nursing home. Health 2021-07-02 2021-08-03 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2018-05-24 2018-05-25 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 2018-05-24 2018-05-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-05-24 2018-05-25 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2018-05-24 2018-05-25 N

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