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Deficiency Records for Core of Dale
A list of the most recent deficiencies for Core of Dale. 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 Core of Dale. 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? |
|---|---|---|---|---|
| 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 | 2024-08-21 | 2024-09-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-21 | 2024-09-20 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-08-21 | 2024-09-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-21 | 2024-09-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-21 | 2024-09-20 | 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 | 2024-08-21 | 2024-09-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-21 | 2024-09-20 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-08-21 | 2024-09-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-21 | 2024-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-21 | 2024-09-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-28 | 2024-09-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-28 | 2024-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-28 | 2024-09-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-28 | 2024-09-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-28 | 2024-09-20 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-03-08 | 2024-04-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-15 | 2024-02-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-30 | 2024-02-15 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-29 | 2023-12-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-27 | 2023-12-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-26 | 2023-11-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-02 | 2023-11-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-29 | 2023-10-20 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-08-29 | 2023-10-20 | 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 | 2023-08-02 | 2023-09-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-08-02 | 2023-09-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-02 | 2023-09-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-02 | 2023-09-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-02 | 2023-09-28 | 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 | 2023-08-02 | 2023-09-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-02 | 2023-09-28 | 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 | 2023-08-02 | 2023-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-02 | 2023-09-28 | 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 | 2023-08-02 | 2023-09-28 | 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 | 2023-08-02 | 2023-09-28 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-08-02 | 2023-09-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-02 | 2023-09-28 | 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 | 2023-08-02 | 2023-09-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-02 | 2023-09-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-02 | 2023-09-28 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-08-02 | 2023-09-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-02 | 2023-09-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-03-07 | 2023-04-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-07 | 2023-04-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-07 | 2023-04-04 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-03-07 | 2023-04-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-19 | 2023-04-04 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-01-19 | 2023-04-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-19 | 2023-04-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-19 | 2023-04-04 | Y |
| 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 | 2023-01-19 | 2023-04-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-19 | 2023-04-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-01 | 2022-11-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-01 | 2022-11-01 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-06-24 | 2022-07-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-24 | 2022-07-22 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-06-24 | 2022-07-22 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-24 | 2022-07-22 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-24 | 2022-07-22 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-07-23 | 2021-09-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-07-23 | 2021-09-28 | N |
| Provide activities to meet all resident's needs. | Health | 2021-07-23 | 2021-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-23 | 2021-09-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-23 | 2021-09-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-08-23 | 2021-09-15 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2021-08-23 | 2021-09-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-08-23 | 2021-09-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-08-23 | 2021-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-23 | 2021-09-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-23 | 2021-09-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-23 | 2021-09-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-23 | 2021-09-15 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-08-23 | 2021-09-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-23 | 2021-08-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-07-23 | 2021-08-22 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-07-23 | 2021-08-22 | 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 | 2021-07-23 | 2021-08-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-23 | 2021-08-22 | 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 | 2021-07-23 | 2021-08-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-23 | 2021-08-22 | N |
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