Deficiency Records for Dyersburg Health and Rehabilitation Center

A list of the most recent deficiencies for Dyersburg Health and Rehabilitation Center. 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 safe and appropriate respiratory care for a resident when needed.	Health	2021-06-30	2021-08-13	N
Ensure proper usage of power strips and extension cords.	Fire Safety	2021-06-28	2021-08-13	N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Health	2020-01-22	2020-03-07	N
Allow residents to self-administer drugs if determined clinically appropriate.	Health	2020-01-22	2020-03-07	N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	Health	2020-01-22	2020-03-07	N
Respond appropriately to all alleged violations.	Health	2020-01-22	2020-03-07	N
Ensure each resident receives an accurate assessment.	Health	2020-01-22	2020-03-07	N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Health	2020-01-22	2020-03-07	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	2020-01-22	2020-03-07	N
Provide appropriate treatment and care according to orders, resident?s preferences and goals.	Health	2020-01-22	2020-03-07	N
Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Health	2020-01-22	2020-03-07	N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Health	2020-01-22	2020-03-07	N
Provide enough food/fluids to maintain a resident's health.	Health	2020-01-22	2020-03-07	N
Dispose of garbage and refuse properly.	Health	2020-01-22	2020-03-07	N
Administer the facility in a manner that enables it to use its resources effectively and efficiently.	Health	2020-01-22	2020-03-07	N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	Health	2020-01-22	2020-03-07	N
Have approved installation, maintenance and testing program for fire alarm systems.	Fire Safety	2020-01-13	2020-02-19	N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Fire Safety	2020-01-13	2020-02-19	N
Have generator or other power source capable of supplying service within 10 seconds.	Fire Safety	2020-01-13	2020-02-19	N
Inspect, test, and maintain automatic sprinkler systems.	Fire Safety	2020-01-13	2020-02-18	N
Conduct risk assessment and an All-Hazards approach.	Fire Safety	2020-01-13	2020-02-14	N
Develop Emergency Preparedness policies and procedures.	Fire Safety	2020-01-13	2020-02-14	N
Address subsistence needs for staff and patients.	Fire Safety	2020-01-13	2020-02-14	N
Establish policies and procedures including evacuation.	Fire Safety	2020-01-13	2020-02-14	N
Establish policies and procedures for sheltering.	Fire Safety	2020-01-13	2020-02-14	N
Establish policies and procedures for volunteers.	Fire Safety	2020-01-13	2020-02-14	N
Establish roles under a Waiver declared by secretary.	Fire Safety	2020-01-13	2020-02-14	N
List the names and contact information of those in the facility.	Fire Safety	2020-01-13	2020-02-14	N
Establish emergency prep training and testing.	Fire Safety	2020-01-13	2020-02-14	N
Conduct testing and exercise requirements.	Fire Safety	2020-01-13	2020-02-14	N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Fire Safety	2020-01-13	2020-02-12	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	2020-01-13	2020-02-11	N
Have simulated fire drills held at unexpected times.	Fire Safety	2020-01-13	2020-02-11	N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Fire Safety	2020-01-13	2020-02-10	N
Install proper backup exit lighting.	Fire Safety	2020-01-13	2020-02-06	N
To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Fire Safety	2020-01-13	2020-02-03	N
Keep aisles, corridors, and exits free of obstruction in case of emergency.	Fire Safety	2020-01-13	2020-01-13	N
Have exits that are accessible at all times.	Fire Safety	2020-01-13	2020-01-13	N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Health	2019-01-10	2019-02-22	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	2019-01-10	2019-02-22	N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	Health	2019-01-10	2019-02-22	N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment.	Health	2019-01-10	2019-02-22	N
Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Health	2019-01-10	2019-02-22	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	2019-01-10	2019-02-22	N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Health	2019-01-10	2019-02-22	N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Health	2019-01-10	2019-02-22	N
Provide and implement an infection prevention and control program.	Health	2019-01-10	2019-02-22	N
Conduct risk assessment and an All-Hazards approach.	Fire Safety	2019-01-07	2019-02-22	N
Develop Emergency Preparedness policies and procedures.	Fire Safety	2019-01-07	2019-02-22	N
Inspect, test, and maintain automatic sprinkler systems.	Fire Safety	2019-01-07	2019-02-22	N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Fire Safety	2019-01-07	2019-02-22	N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.	Fire Safety	2019-01-07	2019-02-22	N

Deficiency Records for Dyersburg Health and Rehabilitation Center

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