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Deficiency Records for Wilmington Nursing and Rehab
A list of the most recent deficiencies for Wilmington Nursing and Rehab. 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 Wilmington Nursing and Rehab. 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? |
|---|---|---|---|---|
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-07-11 | 2024-08-06 | 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 | 2024-07-11 | 2024-08-06 | N |
| Provide appropriate foot care. | Health | 2024-07-11 | 2024-08-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-11 | 2024-08-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-07-08 | 2024-08-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-08 | 2024-08-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-08 | 2024-08-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-08 | 2024-08-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-08 | 2024-08-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-08 | 2024-08-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-08 | 2024-08-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-08 | 2024-08-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-08 | 2024-08-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-08 | 2024-08-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-08 | 2023-11-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-08 | 2023-11-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-21 | 2023-11-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-21 | 2023-11-29 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-09 | 2022-10-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-09 | 2022-10-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-09 | 2022-10-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-15 | 2022-04-19 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-03-15 | 2022-04-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-15 | 2022-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-15 | 2022-04-19 | N |
| Have policies on smoking. | Health | 2022-03-15 | 2022-04-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-15 | 2022-04-19 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-03-15 | 2022-04-19 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2022-03-15 | 2022-04-19 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-03-09 | 2022-04-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-03-09 | 2022-04-19 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-03-09 | 2022-04-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-09 | 2022-04-19 | 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 | 2022-03-09 | 2022-04-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-09 | 2022-04-19 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-03-09 | 2022-04-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-09 | 2022-04-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-09 | 2022-04-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-09 | 2022-04-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-09 | 2022-04-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-09 | 2022-04-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-09 | 2022-04-19 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-06-06 | 2019-07-15 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-06-06 | 2019-07-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-06 | 2019-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-06 | 2019-07-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-05 | 2019-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-05 | 2019-07-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-06-05 | 2019-07-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-05 | 2019-07-15 | N |
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