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Deficiency Records for Accolade Healthcare Danville

A list of the most recent deficiencies for Accolade Healthcare 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 Accolade Healthcare 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?
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-07-30 2024-08-12 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-30 2024-08-12 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-07-30 2024-08-12 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-07 2024-05-30 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-04-25 2024-05-13 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-04-25 2024-05-13 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-04-25 2024-05-13 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-04-19 2024-05-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-04-19 2024-05-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-19 2024-05-08 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-04-19 2024-05-08 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-04-19 2024-05-08 N
Provide and implement an infection prevention and control program. Health 2024-04-19 2024-05-08 N
Ensure each resident receives an accurate assessment. Health 2024-04-19 2024-05-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-04-19 2024-05-07 N
Ensure that residents are free from significant medication errors. Health 2024-04-19 2024-05-07 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 2024-04-19 2024-05-07 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-04-24 2024-04-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-04-24 2024-04-29 N
Establish staff and initial training requirements. Fire Safety 2024-04-24 2024-04-25 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-01-09 2024-01-26 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-01-09 2024-01-26 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-09 2024-01-26 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-01-09 2024-01-26 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-09-27 2023-10-10 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-16 2023-08-28 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-05-10 2023-05-24 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-05-10 2023-05-24 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-10 2023-05-24 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-03-28 2023-04-20 N
Establish staff and initial training requirements. Fire Safety 2023-03-28 2023-04-11 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-03-28 2023-04-11 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-03-28 2023-04-11 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-03-28 2023-04-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-28 2023-04-11 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-03-28 2023-04-11 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-03-28 2023-04-11 N
Provide a written emergency evacuation plan. Fire Safety 2023-03-28 2023-04-11 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-03-28 2023-04-11 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-03-28 2023-04-11 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-03-28 2023-04-11 N
Ensure proper storage of liquid oxygen. Fire Safety 2023-03-28 2023-04-11 N
Conduct testing and exercise requirements. Fire Safety 2023-03-28 2023-04-07 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 2023-03-02 2023-03-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-02 2023-03-20 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-03-02 2023-03-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-02 2023-03-20 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-03-02 2023-03-20 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-03-02 2023-03-20 N
Ensure medication error rates are not 5 percent or greater. Health 2023-03-02 2023-03-20 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 2023-03-02 2023-03-20 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-03-02 2023-03-20 N
Provide and implement an infection prevention and control program. Health 2023-03-02 2023-03-20 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-02 2023-03-20 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-03-02 2023-03-20 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-02-01 2023-02-22 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-02-01 2023-02-22 Y
Respond appropriately to all alleged violations. Health 2023-02-01 2023-02-22 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 2023-02-01 2023-02-22 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 2023-02-01 2023-02-22 Y
Provide and implement an infection prevention and control program. Health 2022-12-07 2022-12-20 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-09-01 2022-09-20 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-01 2022-09-20 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 2022-07-14 2022-08-03 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-07-14 2022-08-03 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-07-14 2022-08-03 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-07-14 2022-08-03 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-04-06 2022-05-03 Y
Provide care by qualified persons according to each resident's written plan of care. Health 2022-04-06 2022-05-03 Y
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 2022-04-06 2022-05-03 Y
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 2022-04-06 2022-05-03 Y
Ensure medication error rates are not 5 percent or greater. Health 2022-04-06 2022-05-03 Y
Ensure that residents are free from significant medication errors. Health 2022-04-06 2022-05-03 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-04-06 2022-05-03 Y
Perform COVID19 testing on residents and staff. Health 2022-04-06 2022-05-03 Y
Ensure staff are vaccinated for COVID-19 Health 2022-04-06 2022-05-03 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-02-15 2022-03-17 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-02-15 2022-03-17 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-02-15 2022-03-17 N
Ensure operating rooms are properly protected and written records are maintained and available for inspection. Fire Safety 2022-02-15 2022-03-17 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-02-22 2022-03-15 N
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. Health 2022-02-10 2022-03-03 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-11-17 2021-12-07 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-11-17 2021-12-07 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-11-17 2021-12-07 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2021-11-17 2021-12-07 Y
Provide and implement an infection prevention and control program. Health 2021-11-10 2021-12-07 Y

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