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Deficiency Records for Deptford Center For Rehabilitation and Healthcare
A list of the most recent deficiencies for Deptford Center For Rehabilitation and Healthcare. 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 Deptford Center For Rehabilitation and Healthcare. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-22 | 2024-06-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-22 | 2024-06-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-05 | 2024-04-01 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-03-05 | 2024-04-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-05 | 2024-04-01 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-03-05 | 2024-04-01 | N |
| 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 | 2024-03-05 | 2024-04-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-05 | 2024-04-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-05 | 2024-04-01 | 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 | 2024-03-05 | 2024-04-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-05 | 2024-04-01 | 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 | 2024-03-05 | 2024-04-01 | 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 | 2024-03-05 | 2024-04-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-05 | 2024-04-01 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-03-05 | 2024-04-01 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-03-05 | 2024-04-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-05 | 2024-04-01 | 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 | 2024-03-05 | 2024-04-01 | 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 | 2024-03-05 | 2024-04-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-05 | 2024-04-01 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-03-05 | 2024-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-05 | 2024-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-05 | 2024-04-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-05 | 2024-04-01 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-03-05 | 2024-04-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-03-05 | 2024-04-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-03-05 | 2024-04-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-05 | 2024-04-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-05 | 2024-04-01 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-03-05 | 2024-04-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-03-05 | 2024-04-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-09 | 2023-12-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-09 | 2023-12-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-09 | 2023-12-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-09 | 2023-12-05 | 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 | 2023-06-14 | 2023-07-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-07 | 2022-11-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-07 | 2022-11-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-07 | 2022-11-07 | Y |
| 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 | 2022-11-07 | 2022-11-07 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-09-20 | 2022-10-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-20 | 2022-10-31 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-20 | 2022-10-31 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-09-20 | 2022-10-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-20 | 2022-10-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-20 | 2022-10-31 | 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 | 2022-09-20 | 2022-10-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-20 | 2022-10-31 | 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 | 2022-09-20 | 2022-10-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-20 | 2022-10-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-20 | 2022-10-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-20 | 2022-10-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-20 | 2022-10-31 | 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 | 2022-09-20 | 2022-10-31 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-09-20 | 2022-10-31 | 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 | 2022-09-20 | 2022-10-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-20 | 2022-10-31 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-09-20 | 2022-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-20 | 2022-10-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-20 | 2022-10-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-19 | 2022-03-15 | 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 | 2022-02-19 | 2022-03-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-19 | 2022-02-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-15 | 2022-02-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-06 | 2021-12-01 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-10-06 | 2021-12-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-06 | 2021-12-01 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-02-24 | 2021-04-20 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-02-24 | 2021-03-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-24 | 2021-03-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-02-24 | 2021-03-05 | N |
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