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Deficiency Records for Delmar Gardens of Meramec Valley
A list of the most recent deficiencies for Delmar Gardens of Meramec Valley. 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 Delmar Gardens of Meramec Valley. 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 provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-03-22 | 2024-04-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-26 | 2024-04-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-26 | 2024-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-26 | 2024-04-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-26 | 2024-04-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-08 | 2023-01-06 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-07-26 | 2022-07-12 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-03-01 | 2022-04-08 | N |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2022-03-01 | 2022-04-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-01 | 2022-04-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-01 | 2022-04-08 | 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 | 2022-03-01 | 2022-04-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-01 | 2022-04-08 | 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 | 2022-03-01 | 2022-04-08 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-01 | 2022-04-08 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-03-01 | 2022-04-08 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-01 | 2022-04-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-01 | 2022-04-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-01 | 2022-04-08 | Y |
| 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 | 2022-03-01 | 2022-04-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-01 | 2022-04-08 | 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 | 2022-03-01 | 2022-04-08 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2022-03-01 | 2022-04-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-03-01 | 2022-04-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-03-01 | 2022-04-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-01 | 2022-04-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-03-01 | 2022-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-01 | 2022-04-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-03-01 | 2022-04-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-01 | 2022-04-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-01 | 2022-04-08 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-03-01 | 2022-04-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-01 | 2022-04-08 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-04-05 | 2019-05-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-05 | 2019-05-17 | 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 | 2019-04-05 | 2019-05-17 | N |
| Post nurse staffing information every day. | Health | 2019-04-05 | 2019-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-05 | 2019-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-05 | 2019-05-17 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-04-05 | 2019-05-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-05 | 2019-05-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-05 | 2019-05-17 | N |
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