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Deficiency Records for Doverwood Village

A list of the most recent deficiencies for Doverwood Village. 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 Doverwood Village. 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?
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-11 2024-01-18 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-12-07 2023-12-13 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-10-27 2023-11-07 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-09-28 2022-10-18 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 2022-09-28 2022-10-18 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 2022-09-28 2022-10-18 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-09-28 2022-10-18 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-09-28 2022-10-18 N
Honor each resident's preferences, choices, values and beliefs. Health 2022-09-28 2022-10-18 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-28 2022-10-18 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-28 2022-10-18 N
Provide and implement an infection prevention and control program. Health 2022-09-28 2022-10-18 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 2022-09-28 2022-10-18 Y
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 2022-09-28 2022-10-18 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 2022-09-21 2022-10-18 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-09-21 2022-10-18 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-09-21 2022-10-18 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2022-09-21 2022-10-18 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-09-21 2022-10-18 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-09-21 2022-10-18 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-09-21 2022-10-18 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-09-21 2022-10-18 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 2020-01-21 2020-02-28 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2020-01-21 2020-02-28 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2020-01-21 2020-02-28 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-01-21 2020-02-28 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2020-01-21 2020-02-28 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2018-11-15 2018-12-21 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2018-11-15 2018-12-21 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2018-11-15 2018-12-21 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 2018-11-15 2018-12-21 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2018-11-15 2018-12-21 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-11-14 2018-12-21 N

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