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Deficiency Records for Darcy Hall of Life Care

A list of the most recent deficiencies for Darcy Hall of Life Care. 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 Darcy Hall of Life Care. 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-11-08 2023-12-08 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-10-05 2023-10-30 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 2023-10-05 2023-10-30 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 2023-10-05 2023-10-30 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2023-10-05 2023-10-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-05 2023-10-30 N
Provide bedrooms that don't allow residents to see each other when privacy is needed. Health 2023-10-05 2023-10-30 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-09-20 2023-10-20 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-06-09 2022-07-09 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-06-09 2022-07-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-06-09 2022-07-09 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 2022-06-09 2022-07-09 N
Provide activities to meet all resident's needs. Health 2022-06-09 2022-07-09 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-06-09 2022-07-09 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-04-27 2022-07-09 Y
Ensure staff are vaccinated for COVID-19 Health 2022-04-11 2022-05-14 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2022-02-08 2022-03-10 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-01-05 2022-02-05 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-01-05 2022-02-05 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2021-12-09 2022-01-09 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-12-09 2022-01-09 Y
Respond appropriately to all alleged violations. Health 2021-12-09 2022-01-09 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-10-08 2021-11-08 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-10-08 2021-11-08 Y
Reasonably accommodate the needs and preferences of each resident. Health 2021-05-22 2021-07-12 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 2021-05-22 2021-07-12 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-05-22 2021-07-12 N
Respond appropriately to all alleged violations. Health 2021-05-22 2021-07-12 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-05-22 2021-07-12 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2021-05-22 2021-07-12 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2021-05-22 2021-07-12 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2021-05-22 2021-07-12 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-05-22 2021-07-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-22 2021-07-12 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 2021-05-22 2021-07-12 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-05-22 2021-07-12 N
Provide activities to meet all resident's needs. Health 2021-05-22 2021-07-12 N
Assist a resident in gaining access to vision and hearing services. Health 2021-05-22 2021-07-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-05-22 2021-07-12 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 2021-05-22 2021-07-12 N
Provide enough food/fluids to maintain a resident's health. Health 2021-05-22 2021-07-12 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 2021-05-22 2021-07-12 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-05-22 2021-07-12 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 2021-05-22 2021-07-12 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2021-05-22 2021-07-12 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 2021-05-22 2021-07-12 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 2021-05-22 2021-07-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-22 2021-07-12 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2021-05-22 2021-07-12 N
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. Health 2021-05-22 2021-07-12 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2021-05-22 2021-07-12 N
Provide and implement an infection prevention and control program. Health 2021-05-22 2021-07-12 N
List the names and contact information of those in the facility. Fire Safety 2021-06-04 2021-07-04 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2021-06-04 2021-07-04 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-06-04 2021-07-04 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-06-04 2021-07-04 N

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