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Deficiency Records for Goldwater Care Danville
A list of the most recent deficiencies for Goldwater Care Danville. 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 Goldwater Care Danville. 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 | 2024-03-06 | 2024-07-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-27 | 2024-07-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-27 | 2024-07-01 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-06-27 | 2024-06-28 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-06-13 | 2024-06-15 | Y |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-06-13 | 2024-06-15 | Y |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-06-13 | 2024-06-15 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-06-13 | 2024-06-15 | Y |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2024-06-13 | 2024-06-15 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-06-13 | 2024-06-15 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-06-13 | 2024-06-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-13 | 2024-06-14 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2024-06-13 | 2024-06-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-13 | 2024-06-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-13 | 2024-06-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-23 | 2024-05-04 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-06 | 2024-03-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-03-06 | 2024-03-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-02-23 | 2024-03-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-23 | 2024-03-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-23 | 2024-03-12 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-02-23 | 2024-03-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-23 | 2024-03-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-23 | 2024-03-10 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-02-23 | 2024-03-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-23 | 2024-03-09 | 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 | 2024-02-23 | 2024-03-09 | 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 | 2024-02-23 | 2024-03-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-23 | 2024-03-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-03-06 | 2024-03-08 | N |
| Establish methods for sharing information. | Fire Safety | 2024-03-06 | 2024-03-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-06 | 2024-03-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-23 | 2024-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-23 | 2024-02-26 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-02-23 | 2024-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-29 | 2024-01-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-29 | 2024-01-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-29 | 2024-01-16 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-29 | 2024-01-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-17 | 2023-08-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-08-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-18 | 2023-05-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-18 | 2023-05-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-18 | 2023-05-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-18 | 2023-05-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-18 | 2023-05-05 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-01-20 | 2023-02-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-20 | 2023-02-14 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-01-17 | 2023-02-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-01-17 | 2023-02-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-17 | 2023-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-11 | 2022-06-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-11 | 2022-06-03 | Y |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-12-15 | 2021-12-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-18 | 2021-12-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-11-18 | 2021-12-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-18 | 2021-12-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-18 | 2021-12-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-18 | 2021-12-10 | 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 | 2021-11-18 | 2021-12-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-18 | 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 | 2021-11-18 | 2021-12-10 | 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 | 2021-11-18 | 2021-12-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-18 | 2021-12-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-18 | 2021-12-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-18 | 2021-12-10 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-11-18 | 2021-12-10 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-11-18 | 2021-12-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-11-18 | 2021-12-10 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-11-18 | 2021-12-10 | N |
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