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Deficiency Records for Delmar Nursing and Rehabilitation Center
A list of the most recent deficiencies for Delmar Nursing and Rehabilitation 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 Delmar Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-06 | 2023-11-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-06 | 2023-11-27 | 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 | 2023-10-06 | 2023-11-27 | 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 | 2023-10-06 | 2023-11-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-06 | 2023-11-27 | 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 | 2023-10-06 | 2023-11-27 | 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 | 2023-10-06 | 2023-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-06 | 2023-11-27 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-06 | 2023-11-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-06 | 2023-11-03 | 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 | 2022-03-16 | 2022-04-23 | N |
| 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 | 2022-03-16 | 2022-04-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-16 | 2022-04-23 | 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 | 2022-03-16 | 2022-04-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-16 | 2022-04-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-16 | 2022-04-23 | 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 | 2022-03-16 | 2022-04-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-16 | 2022-04-23 | N |
| Post nurse staffing information every day. | Health | 2022-03-16 | 2022-04-23 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-03-16 | 2022-04-23 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-03-15 | 2022-04-23 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-03-16 | 2022-04-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-21 | 2019-11-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-21 | 2019-11-27 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-10-21 | 2019-11-27 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2019-10-21 | 2019-11-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-21 | 2019-11-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-21 | 2019-11-27 | 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 | 2019-10-21 | 2019-11-27 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-10-21 | 2019-11-27 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-10-21 | 2019-11-27 | 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 | 2019-10-21 | 2019-11-27 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-10-21 | 2019-11-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-21 | 2019-11-27 | 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 | 2019-10-21 | 2019-11-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-21 | 2019-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-21 | 2019-11-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-21 | 2019-11-27 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-10-21 | 2019-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-24 | 2019-11-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-24 | 2019-11-27 | N |
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