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Deficiency Records for Vanderman Place
A list of the most recent deficiencies for Vanderman Place. 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 Vanderman Place. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-26 | 2023-07-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-26 | 2023-07-20 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-05-02 | 2023-06-13 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-05-02 | 2023-06-13 | 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 | 2023-05-02 | 2023-06-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-02 | 2023-06-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-02 | 2023-06-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-02 | 2023-06-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-02 | 2023-06-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-02 | 2023-06-13 | 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 | 2023-05-02 | 2023-06-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-02 | 2023-06-13 | N |
| 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 | 2023-05-02 | 2023-06-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-02 | 2023-06-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-02 | 2023-06-13 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-05-02 | 2023-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-02 | 2023-06-13 | N |
| Report COVID19 data to residents and families. | Health | 2023-05-02 | 2023-06-13 | 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 | 2023-05-02 | 2023-06-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-02 | 2023-06-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-02 | 2023-06-13 | 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 | 2023-05-02 | 2023-06-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-25 | 2022-12-06 | 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 | 2022-04-20 | 2022-05-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-20 | 2022-05-21 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-20 | 2022-05-21 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2020-09-16 | 2020-11-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-09-16 | 2020-11-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-09-16 | 2020-11-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-09-16 | 2020-11-12 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-09-16 | 2020-11-12 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-09-16 | 2020-11-12 | 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 | 2020-09-16 | 2020-11-12 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-09-16 | 2020-11-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-09-16 | 2020-11-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-09-16 | 2020-11-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-16 | 2020-11-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-09-16 | 2020-11-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-09-16 | 2020-11-12 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2020-09-16 | 2020-11-12 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-09-16 | 2020-11-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-09-16 | 2020-11-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-16 | 2020-11-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-09-16 | 2020-11-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-09-18 | 2020-10-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-18 | 2020-10-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-18 | 2020-10-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-18 | 2020-10-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-09-18 | 2020-10-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-18 | 2020-10-30 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-09-18 | 2020-10-30 | 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 | 2020-09-18 | 2020-10-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-09-18 | 2020-10-30 | N |
| 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 | 2020-09-18 | 2020-10-30 | 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 | 2020-09-18 | 2020-10-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-18 | 2020-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-18 | 2020-10-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-09-18 | 2020-10-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-03-04 | 2019-05-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-03-04 | 2019-05-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-03-04 | 2019-05-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-03-04 | 2019-05-21 | 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 | 2019-03-04 | 2019-05-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-04 | 2019-05-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-07 | 2019-04-18 | 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 | 2019-03-07 | 2019-04-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-07 | 2019-04-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-07 | 2019-04-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-07 | 2019-04-18 | 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 | 2019-03-07 | 2019-04-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-07 | 2019-04-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-03-07 | 2019-04-18 | N |
| Provide or obtain dental services for each resident. | Health | 2019-03-07 | 2019-04-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-08 | Not Fixed | Y |
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