Complete Care at Laplata LLC

In the surveyor’s words

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

• Actual harm, isolatedF689Jan 9, 2026

  Based on observation, record review, and interview, it was determined that facility staff failed to identify and evaluate factors contributing to a resident's falls and ensure appropriate interventions were implemented to prevent future occurrences. This deficient practice resulted in actual harm to Resident #1. This was evident for 1 (#6) of 1 resident reviewed for accidents/hazards.The findings include:Care plan - is a guide that addresses the unique needs of each resident. It is used to plan, assess, and evaluate the effectiveness of the resident's care. […]

• Actual harm, isolatedF689Mar 24, 2025

  Based on record reviews and interviews with facility staff, it was determined that the facility failed to protect residents from accidents and hazards. This was found to be evident for 1 (Resident #22) out of 1 Resident reviewed for accidents. This deficient practice resulted in actual harm cited as past noncompliance. The findings include: On 03/20/25, at 8:00AM, during a medical record review, it was found that Resident #22 sustained second degree burns on the right fourth and fifth digits, abdomen, and thigh from hot coffee on 02/23/25. As a result, the resident was admitted to the hospital for burn treatment. During an interview conducted on 03/20/25 at 8:05 AM, the Surveyors were unable to communicate with Resident #22 because he/she was non verbal. […]

• No harm, potential for more than minimal, widespreadF805Mar 24, 2025

  Based on observations and interviews it was determined that the facility failed to ensure that food was prepared in a form designed to meet the needs of individuals with alterations in their ability to chew and swallow. This was evident during 1 of 1 observation of meal preparations in the kitchen. This deficient practice has the potential to affect all residents on a therapeutic diet. The findings include: Some individuals may require food consistency to be altered due to their inability to chew and/or swallow. If the consistency required for a resident is not followed, it could result in the resident having food blocking their airway or entering their lungs resulting in serious breathing complications. […]

• No harm, potential for more than minimal, widespreadF812Mar 24, 2025

  Based on observations of the Kitchen it was determined that the facility failed to maintain food service equipment in a manner that ensures sanitary and safe food service operations. This was evident during multiple observations of the kitchen food service operations. This deficient practice has the potential to affect all Residents. The findings include: During observations in the kitchen on 3/17/25 at 8:40 AM the freezer was found to have a buildup of ice and an ice sickle hanging from a pipe connected to the cooling unit. Further investigation showed ice [NAME] had formed on the wire food rack below the pipe. Additional tracking of the ice led to the discovery of a clump of ice on top of a box of Vanilla Magic Cup Dessert below the ice [NAME]. […]

• No harm, potential for more than minimal, widespreadF880Mar 24, 2025

  Based on observation, record review and interview, it was determined the facility failed 1) to use appropriate infection control practices such as Enhanced Barrier Precautions (EBP) during a high contact care for residents with indwelling urinary catheters, tracheostomy tube, feeding tube and wounds. This was evident for 3 (Resident #45, #384 and #386) of 51 residents reviewed for infection control practices during the recertification survey and 2) to properly store and handle personal clothing. […]