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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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