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Deficiency Records for Adventist Health Delano
A list of the most recent deficiencies for Adventist Health Delano. 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 Adventist Health Delano. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-09 | 2024-08-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-22 | 2024-06-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-22 | 2024-06-13 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-22 | 2024-06-13 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-04-11 | 2024-05-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-11 | 2024-05-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-11 | 2024-05-06 | Y |
| 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 | 2024-04-11 | 2024-05-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-11 | 2024-05-06 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-04-11 | 2024-05-06 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-04-11 | 2024-05-06 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-11 | 2024-05-06 | Y |
| 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 | 2024-04-11 | 2024-05-06 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-04-11 | 2024-05-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-11 | 2024-05-06 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-04-11 | 2024-05-06 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-11 | 2024-05-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-11 | 2024-05-06 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-04-11 | 2024-05-06 | Y |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-04-17 | 2024-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-17 | 2024-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-17 | 2024-05-03 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-04-17 | 2024-05-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-17 | 2024-05-03 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-26 | 2024-04-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-06 | 2024-03-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-02-01 | 2024-03-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-01 | 2024-03-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-01 | 2024-03-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-19 | 2024-02-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-19 | 2024-02-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-01-19 | 2024-02-08 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-29 | 2023-10-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-16 | 2023-04-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-16 | 2023-04-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-16 | 2023-04-06 | 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 | 2023-03-16 | 2023-04-06 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-03-16 | 2023-04-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-16 | 2023-04-06 | 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 | 2023-03-16 | 2023-04-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-16 | 2023-04-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-16 | 2023-04-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-16 | 2023-04-06 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-03-16 | 2023-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-16 | 2023-04-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-20 | 2023-04-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-20 | 2023-04-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-20 | 2023-04-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-03-20 | 2023-04-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-20 | 2023-04-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-20 | 2023-04-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-25 | 2023-01-26 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-13 | 2020-03-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-02-13 | 2020-03-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-02-13 | 2020-03-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-13 | 2020-03-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-13 | 2020-03-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-02-13 | 2020-03-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-13 | 2020-03-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-13 | 2020-03-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-23 | 2020-02-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-23 | 2020-02-25 | N |
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