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Deficiency Records for Damas Hospital Snf
A list of the most recent deficiencies for Damas Hospital Snf. 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 Damas Hospital Snf. 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? |
|---|---|---|---|---|
| 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 | 2024-05-17 | 2024-06-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-17 | 2024-06-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-17 | 2024-06-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-17 | 2024-06-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-05-17 | 2024-06-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-05-17 | 2024-06-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-17 | 2024-06-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-17 | 2024-06-20 | 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 | 2024-05-17 | 2024-06-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-17 | 2024-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-17 | 2024-06-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-05-17 | 2024-05-28 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-05-17 | 2024-05-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-12 | 2024-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-12 | 2024-05-15 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-03-12 | 2024-05-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-03-12 | 2024-05-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-12 | 2024-04-17 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-03-12 | 2024-04-10 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-03-12 | 2024-04-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-12 | 2024-04-10 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-03-12 | 2024-04-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-03-12 | 2024-04-08 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-03-12 | 2024-04-08 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2024-03-12 | 2024-04-08 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-03-12 | 2024-04-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-12 | 2024-04-02 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-03-12 | 2024-03-12 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-04-13 | 2023-06-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-13 | 2023-05-29 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-04-13 | 2023-05-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-13 | 2023-05-26 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-13 | 2023-05-26 | 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 | 2023-04-13 | 2023-05-19 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-04-13 | 2023-05-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-13 | 2023-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-28 | 2022-07-15 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2022-04-28 | 2022-05-03 | N |
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