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Deficiency Records for Hennis Care Centre of Dover
A list of the most recent deficiencies for Hennis Care Centre of Dover. 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 Hennis Care Centre of Dover. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-30 | 2024-06-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-10 | 2023-06-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-10 | 2023-06-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-10 | 2023-06-02 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-10 | 2023-06-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-19 | 2023-03-01 | N |
| 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 | 2023-03-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-01-19 | 2023-03-01 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-01-19 | 2023-03-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-01-19 | 2023-03-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-19 | 2023-03-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-01-19 | 2023-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-19 | 2023-03-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-19 | 2023-03-01 | N |
| Provide activities to meet all resident's needs. | Health | 2023-01-19 | 2023-03-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-19 | 2023-03-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-19 | 2023-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-19 | 2023-03-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-19 | 2023-03-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-19 | 2023-03-01 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-01-19 | 2023-03-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-19 | 2023-03-01 | 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 | 2023-01-19 | 2023-03-01 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-01-19 | 2023-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-19 | 2023-03-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-01-19 | 2023-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-19 | 2023-03-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-01-19 | 2023-03-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-12-16 | 2023-03-01 | Y |
| 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 | 2023-01-11 | 2023-03-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-11 | 2023-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-11 | 2023-03-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-11 | 2023-03-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-11 | 2023-03-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-11 | 2023-03-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-11 | 2023-03-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-11 | 2023-03-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-11 | 2023-03-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-11 | 2023-03-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-19 | 2023-02-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-16 | 2023-01-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-28 | 2022-02-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-22 | 2022-02-18 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2020-03-12 | 2020-05-14 | 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 | 2020-03-12 | 2020-05-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-03-12 | 2020-05-14 | 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 | 2020-03-12 | 2020-05-14 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-03-12 | 2020-05-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-12 | 2020-05-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-12 | 2020-05-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-12 | 2020-05-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-03-12 | 2020-05-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-03-12 | 2020-05-14 | N |
| Post nurse staffing information every day. | Health | 2020-03-12 | 2020-05-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-12 | 2020-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-12 | 2020-05-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-03-12 | 2020-05-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-09 | 2020-05-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-03-09 | 2020-05-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-09 | 2020-05-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-09 | 2020-05-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-09 | 2020-05-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-07 | 2019-03-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-07 | 2019-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-03-21 | 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 | 2019-02-07 | 2019-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-07 | 2019-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-03-21 | N |
| Dispose of garbage and refuse properly. | Health | 2019-02-07 | 2019-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-03-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-07 | 2019-03-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-02-07 | 2019-03-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-07 | 2019-03-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-07 | 2019-03-21 | N |
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