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Deficiency Records for Durango Health and Rehabilitation

A list of the most recent deficiencies for Durango Health and Rehabilitation. 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 Durango Health and Rehabilitation. 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?
Have exits that are accessible at all times. Fire Safety 2024-07-23 2024-10-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-23 2024-10-31 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2024-07-23 2024-10-31 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-07-23 2024-09-16 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-07-23 2024-08-16 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-07-23 2024-08-16 N
Provide properly protected cooking facilities. Fire Safety 2024-07-23 2024-08-16 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-07-23 2024-08-16 N
Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. Fire Safety 2024-07-23 2024-08-16 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-07-23 2024-08-16 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-07-23 2024-08-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-07-23 2024-08-16 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-06-27 2024-07-03 N
Honor the resident's right to manage his or her financial affairs. Health 2024-06-27 2024-07-03 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-06-27 2024-07-03 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-06-27 2024-07-03 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-06-27 2024-07-03 N
Provide activities to meet all resident's needs. Health 2024-06-27 2024-07-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-27 2024-07-03 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-06-27 2024-07-03 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 2024-06-27 2024-07-03 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-06-27 2024-07-03 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-06-27 2024-07-03 N
Ensure medication error rates are not 5 percent or greater. Health 2024-06-27 2024-07-03 N
Ensure that residents are free from significant medication errors. Health 2024-06-27 2024-07-03 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 2024-06-27 2024-07-03 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-06-27 2024-07-03 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-06-27 2024-07-03 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-06-27 2024-07-03 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-06-27 2024-07-03 N
Provide and implement an infection prevention and control program. Health 2024-06-27 2024-07-03 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2024-06-27 2024-07-03 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-27 2024-07-03 Y
Establish emergency prep training and testing. Fire Safety 2024-06-27 2024-07-03 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2024-03-07 2024-04-04 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-03-07 2024-03-29 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-03-07 2023-04-13 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-03-07 2023-04-13 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2022-03-10 2022-04-08 Y
Have exits that are accessible at all times. Fire Safety 2021-12-03 2021-12-27 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-12-03 2021-12-22 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-11-11 2021-12-10 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-11-11 2021-12-10 N
Provide activities to meet all resident's needs. Health 2021-11-11 2021-12-10 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-11-11 2021-12-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-11 2021-12-10 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 2021-11-11 2021-12-10 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-11-11 2021-12-10 N
Have proper medical gas storage and administration areas. Fire Safety 2021-12-03 2021-12-03 N
Have exits that are accessible at all times. Fire Safety 2019-09-18 2019-11-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-09-18 2019-10-31 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2019-08-21 2019-10-23 N
Provide properly protected cooking facilities. Fire Safety 2019-09-18 2019-10-15 N
Install an approved automatic sprinkler system. Fire Safety 2019-09-18 2019-10-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-18 2019-10-08 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 2019-08-21 2019-09-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-08-21 2019-09-24 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2019-08-21 2019-09-24 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2019-08-21 2019-09-24 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2019-08-21 2019-09-24 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2019-08-21 2019-09-24 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-08-21 2019-09-24 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-08-21 2019-09-24 N
Provide enough food/fluids to maintain a resident's health. Health 2019-08-21 2019-09-24 N
Ensure medication error rates are not 5 percent or greater. Health 2019-08-21 2019-09-24 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2019-08-21 2019-09-24 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2019-08-21 2019-09-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-08-21 2019-09-24 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2019-08-21 2019-09-24 N

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