Complete Care at Corsica Hills LLC

In the surveyor’s words

From the most serious findings on record at Complete Care at Corsica Hills LLC, in the surveyor’s own words.

• Immediate jeopardy, patternF600Jul 12, 2024

  Based on medical record review and interview, and facility policy review, the facility staff failed to recognize abuse and take action to prevent abuse to residents (Resident #921, #919, #77, #905, #912, #916, #927, #2, #17, #66, #303) reviewed for abuse for 11 out of a total sample of 21 residents. These actions resulted in the finding of an Immediate Jeopardy which was identified on 7/10/24 at 4:30 PM. An IJ summary tool was provided to the facility on [DATE] at 4:48 PM. The facility submitted a draft of their plan to remove the immediacy on 7/10/24 at 6:30 PM and it was not accepted. The facility submitted a 2nd draft of their plan to remove the immediacy on 7/10/24 at 7:36 PM and it was not accepted. […]

• No harm, potential for more than minimal, widespreadF867Jul 12, 2024

  Based on interviews, review of the facility documentation, and review of the facility policy, the facility failed to ensure policies and procedures were implemented to address the facility's Quality Assessment and Performance Improvement (QAPI) plan and program, in which data was gathered, analyzed, developed, implemented, and re-evaluated to address adverse events related to potential deficient practice of abuse. This had the potential to affect all 105 residents residing in the facility at the time of the survey. […]

• No harm, potential for more than minimal, patternF584Jan 12, 2026

  Based on observation and interview, it was determined that the facility failed to provide a clean and homelike environment. This was evident in 1 (C) of 2 shower rooms, 6 (14, 24, 52, 54, 55, and 57) out of 12 resident rooms, and the C/D Nourishment Room observed during the recertification survey. The findings include: On 01/05/26 at 12:28 PM, the surveyors observed brown staining on the ceiling in room [ROOM NUMBER]. On 01/07/26 at 9:53 AM, the surveyors observed a dusty wall mounted ventilation unit, peeling bed board, indentation in the wall, and peeling paint at the base of the bathroom wall in room [ROOM NUMBER]. On 01/07/26 at 9:57 AM, the surveyors observed brown staining around the wall mounted ventilation unit in room [ROOM NUMBER] and room [ROOM NUMBER]. […]

• No harm, potential for more than minimal, patternF812Jan 12, 2026

  Based on kitchen observation, record review, and staff interview, it was determined that the facility failed to ensure that food storage complied with professional standards of food safety. This practice had the potential to impact all residents eating food prepared in the kitchen. The findings include: During the initial brief tour of the kitchen on 01/05/26 at 8:15 AM, the surveyors observed hard boiled eggs, salad, an opened carton of liquid eggs, opened dry pasta, and multiple Rita's Italian ices that were not labeled and dated. The surveyors also observed an uncovered container of rice. The dietary manager acknowledged that food should be labeled and dated once opened and the rice should be covered. On 01/10/26 at 10:11 AM, the surveyors observed the A/B and C/D Nourishment Rooms. […]

• No harm, potential for more than minimal, patternF921Jan 12, 2026

  Based on observation and interview, it was determined that the facility failed to provide a functional and sanitary environment. This was evident for 1 (C) out of 4 shower rooms observed during the recertification survey.On 01/07/2026 at 9:35 AM, the surveyors observed two drains covered in multicolored hair and a metal panel coming off of the bathroom wall. Unit Manager #10 and the Maintenance Regional Director acknowledged the concerns and stated the shower rooms are scheduled for renovation. On 01/07/2026 at 10:11 AM, the surveyors observed a dirty and stained floor with trash in the C/D Nourishment Room.On 01/07/2026 at 11:37 AM, The Nursing Home Administrator (NHA), Maintenance Regional Director, and Maintenance Supervisor acknowledged the concerns in the C/D Nourishment Room. […]