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Deficiency Records for Derby Health and Rehabilitation, LLC
A list of the most recent deficiencies for Derby Health and Rehabilitation, LLC. 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 Derby Health and Rehabilitation, LLC. 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? |
|---|---|---|---|---|
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-21 | 2024-06-24 | 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 | 2024-05-21 | 2024-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-21 | 2024-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-21 | 2024-06-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-21 | 2024-06-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-21 | 2024-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-21 | 2024-06-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-04-30 | 2024-06-05 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-04-30 | 2024-06-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-30 | 2024-06-05 | 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 | 2024-04-30 | 2024-06-05 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-04-30 | 2024-06-05 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-30 | 2024-06-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-30 | 2024-06-05 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-06 | 2023-01-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-06 | 2023-01-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-06 | 2023-01-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-06 | 2023-01-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-06 | 2023-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-08 | 2022-11-18 | 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 | 2022-11-08 | 2022-11-18 | N |
| Post nurse staffing information every day. | Health | 2022-11-08 | 2022-11-18 | 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 | 2022-11-08 | 2022-11-18 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
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