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Deficiency Records for Country Club Retirement Ctr Iv
A list of the most recent deficiencies for Country Club Retirement Ctr Iv. 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 Retirement Ctr Iv. 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 each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-09-30 | 2024-10-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-09-30 | 2024-10-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-09-30 | 2024-10-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-30 | 2024-10-09 | 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 | 2024-09-30 | 2024-10-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-30 | 2024-10-09 | 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 | 2024-09-30 | 2024-10-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-09-30 | 2024-10-09 | 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 | 2024-09-30 | 2024-10-09 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-09-30 | 2024-10-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-09-30 | 2024-10-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-30 | 2024-10-09 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-25 | 2024-10-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-25 | 2024-10-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-09 | 2023-03-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-20 | 2023-03-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-06 | 2023-01-13 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-09 | 2022-11-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-09 | 2022-11-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-09 | 2022-11-29 | 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 | 2022-11-09 | 2022-11-29 | 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 | 2022-11-09 | 2022-11-29 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-09 | 2022-11-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-09 | 2022-11-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-09 | 2022-11-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-09 | 2022-11-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-02 | 2021-12-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-02 | 2021-12-08 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-10 | 2020-02-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-18 | 2020-02-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-12-18 | 2020-02-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-18 | 2020-02-01 | 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 | 2019-12-18 | 2020-02-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-18 | 2020-02-01 | N |
| Provide or obtain dental services for each resident. | Health | 2019-12-18 | 2020-02-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-18 | 2020-02-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-12-18 | 2020-02-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-10 | 2020-02-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-10 | 2020-02-01 | N |
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