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Deficiency Records for Complete Care at Clark LLC
A list of the most recent deficiencies for Complete Care at Clark 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 Clark 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-06 | 2023-11-24 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2023-11-06 | 2023-11-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-06 | 2023-11-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-06 | 2023-11-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-06 | 2023-11-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-11-06 | 2023-11-20 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-11-06 | 2023-11-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-06 | 2023-11-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-06 | 2023-11-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-06 | 2023-11-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-06 | 2023-11-20 | 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 | 2023-11-06 | 2023-11-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-06 | 2023-11-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-05 | 2022-03-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-05 | 2022-01-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-05 | 2022-01-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-05 | 2022-01-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-01-05 | 2022-01-23 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-02-13 | 2020-03-24 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-02-13 | 2020-03-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-02-13 | 2020-03-24 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-13 | 2020-03-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-13 | 2020-03-24 | 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 | 2020-02-13 | 2020-03-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-13 | 2020-03-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-13 | 2020-03-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-13 | 2020-03-24 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-02-13 | 2020-03-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-13 | 2020-03-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-13 | 2020-03-24 | 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 | 2020-02-13 | 2020-03-24 | 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 | 2020-02-13 | 2020-03-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-13 | 2020-03-24 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2020-02-13 | 2020-03-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-03-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-03-24 | N |
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