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Deficiency Records for Delaware Bay Rehabilitation and Healthcare Center
A list of the most recent deficiencies for Delaware Bay Rehabilitation and Healthcare Center. 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 Delaware Bay Rehabilitation and Healthcare Center. 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 generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-31 | 2024-11-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-09 | 2024-11-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-08-09 | 2024-10-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-09 | 2024-10-23 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-08-09 | 2024-10-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-09 | 2024-10-23 | 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 | 2024-08-09 | 2024-10-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-09 | 2024-10-23 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-08-09 | 2024-10-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-08-09 | 2024-10-23 | 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 | 2024-08-09 | 2024-10-23 | 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 | 2024-08-09 | 2024-10-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-09 | 2024-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-09 | 2024-10-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-08-09 | 2024-10-23 | N |
| Keep all essential equipment working safely. | Health | 2024-08-09 | 2024-10-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-27 | 2023-07-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-27 | 2023-07-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-06 | 2023-06-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-06 | 2023-06-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-06 | 2023-06-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-06 | 2023-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-06 | 2023-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-06 | 2023-06-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-06-06 | 2023-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-06 | 2023-06-30 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-06-06 | 2023-06-30 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-06-06 | 2023-06-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-06-06 | 2023-06-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-29 | 2023-01-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-29 | 2023-01-27 | Y |
| 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 | 2022-11-29 | 2023-01-27 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-04-21 | 2021-05-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-21 | 2021-05-31 | 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 | 2021-04-21 | 2021-05-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-21 | 2021-05-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-21 | 2021-05-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-04-21 | 2021-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-21 | 2021-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-21 | 2021-05-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-27 | 2021-04-30 | N |
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