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Deficiency Records for Country Club Ret Center I I I
A list of the most recent deficiencies for Country Club Ret Center I I I. 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 Club Ret Center I I I. 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 implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-09 | 2024-06-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-09 | 2024-06-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-09 | 2024-06-28 | 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 | 2024-05-09 | 2024-06-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-09 | 2024-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-09 | 2024-06-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-08 | 2024-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-08 | 2024-06-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-08 | 2024-06-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-08 | 2024-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-08 | 2024-06-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-16 | 2023-05-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-03 | 2023-04-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-03 | 2023-04-21 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-03 | 2023-04-21 | Y |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-03-27 | 2023-04-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-27 | 2023-04-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-27 | 2023-04-21 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-02-27 | 2020-04-17 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2020-02-24 | 2020-04-17 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-02-24 | 2020-04-17 | 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 | 2020-02-24 | 2020-04-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-24 | 2020-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-24 | 2020-04-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-24 | 2020-04-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-24 | 2020-04-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-24 | 2020-04-17 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2020-02-24 | 2020-04-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-24 | 2020-04-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-24 | 2020-04-17 | N |
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