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Health Inspection

Complete Care At Silver Lake Llc

January 23, 2025 · Dover, DE · 1080 Silver Lake Blvd
Citations 1
CMS Rating 3/5
Beds 120
Provider ID 085027
Healthcare Facility
Complete Care At Silver Lake Llc
Dover, DE  ·  View full profile →
Inspection Summary

COMPLETE CARE AT SILVER LAKE LLC in DOVER, DE — inspection on January 23, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF600
TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 36190 Few and at the appropriate temperature for three of five residents (Resident (R) 62, R46, and R11) reviewed for affected

Review of the Centers for Disease Control website, located at https://www.cdc. gov/covid/hcp/infection-control/index.html, revealed, .

Recommended routine infection prevention and control (IPC) practices during the COVID-19 pandemic .

Management of laundry, food service utensils, and medical waste should be performed in accordance with routine procedures .

Review of the Resident Council Minutes, dated 12/20/24 and provided by the facility, revealed two complaints of cold food.

The resolution included Will follow for trend.

1.

Review of R62's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) date of 12/30/24 and located in the MDS tab of the electronic medical record (EMR), revealed an admitted [DATE] and a Brief Interview for Mental Status (BIMS) of 14 out of 15, indicating R62's cognition was intact. It was recorded that R62 had diagnoses of diabetes mellitus, hypertension, and chronic obstructive pulmonary disease.

Review of R62's Care Plan, dated 06/28/23 and located in the EMR under the Care Plan tab, revealed, The resident has nutritional problem r/t [related to] therapeutic diet restrictions, morbid obesity. An intervention included, .

Provide, serve diet as ordered.

Monitor intake and record q [every] meal .

Review of R62's Orders, dated 01/16/25 and located in the EMR under the Order tab, revealed Infection Precautions - droplet, contact for covid positive.

During an interview on 01/20/25 at 3:09 PM, R62 voiced complaints about being served cold food. R62 stated the noodles, carrots, and rice were not cooked well.

During an observation and interview on 01/22/25 at 12:37 PM, R62 was served lunch in her room in a disposable foam tray. R62's meal included chicken, mixed vegetables, fruit, noodles, and a roll. R62 stated her food was not warm but she was going to eat it anyway.

During an observation and interview on 01/23/25 at 8:07 AM, R62 was served breakfast in her room in a disposable foam tray. R62's meal included fried eggs, toast, and cream of wheat. R62 stated her food was served cold.

085027

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 085027 B.

Wing 01/23/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Complete Care at Silver Lake LLC 1080 Silver Lake Blvd Dover, DE 19904

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in DOVER, DE, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from COMPLETE CARE AT SILVER LAKE LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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