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Deficiency Records for Country Court
A list of the most recent deficiencies for Country Court. 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 Country Court. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-05 | 2023-12-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-10 | 2023-09-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-10 | 2023-09-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-10 | 2023-09-05 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-12-21 | 2023-02-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-12-21 | 2023-02-09 | 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 | 2022-12-21 | 2023-02-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-21 | 2023-02-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-21 | 2023-02-09 | 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 | 2022-12-21 | 2023-02-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-21 | 2023-02-09 | 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 | 2022-12-21 | 2023-02-09 | 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 | 2022-12-21 | 2023-02-09 | N |
| 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 | 2022-12-21 | 2023-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-21 | 2023-02-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-21 | 2023-02-09 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-12-21 | 2023-02-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-21 | 2023-02-09 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-12-21 | 2023-02-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-21 | 2023-02-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-21 | 2023-02-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-21 | 2023-02-09 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-12-21 | 2023-02-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-21 | 2023-02-09 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-12 | 2023-02-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-12 | 2023-02-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-12 | 2023-02-09 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-12-12 | 2023-02-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-12 | 2023-02-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-19 | 2020-02-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-19 | 2020-02-04 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-12-19 | 2020-02-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-19 | 2020-02-04 | 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 | 2019-12-19 | 2020-02-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-19 | 2020-02-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-19 | 2020-02-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-19 | 2020-02-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-19 | 2020-02-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-19 | 2020-02-04 | 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 | 2019-12-19 | 2020-02-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-19 | 2020-02-04 | 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 | 2019-12-19 | 2020-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-02-04 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-12-18 | 2020-02-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-18 | 2020-02-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-18 | 2020-02-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-18 | 2020-02-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-18 | 2020-02-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-18 | 2020-02-04 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-12-18 | 2020-02-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-18 | 2020-02-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-18 | 2020-02-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-01 | 2018-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-01 | 2018-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-01 | 2018-12-20 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-11-01 | 2018-12-20 | 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 | 2018-11-01 | 2018-12-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-11-01 | 2018-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-01 | 2018-12-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-01 | 2018-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-01 | 2018-12-20 | N |
| Keep all essential equipment working safely. | Health | 2018-11-01 | 2018-12-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-11-01 | 2018-12-20 | N |
| Use approved construction type or materials. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-10-30 | 2018-12-20 | 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 | 2018-10-30 | 2018-12-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-10-30 | 2018-12-20 | N |
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