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Deficiency Records for Casa Dorinda
A list of the most recent deficiencies for Casa Dorinda. 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 Casa Dorinda. 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? |
|---|---|---|---|---|
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-04-12 | 2024-04-26 | Y |
| 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 | 2024-04-12 | 2024-04-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-12 | 2024-04-26 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-10-20 | 2022-11-29 | 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 | 2022-10-20 | 2022-11-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-20 | 2022-11-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-20 | 2022-11-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-20 | 2022-11-29 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-10-20 | 2022-11-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-20 | 2022-11-29 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-10-20 | 2022-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-20 | 2022-11-29 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-10-24 | 2022-11-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-10-24 | 2022-11-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-24 | 2022-11-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-10-24 | 2022-11-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-24 | 2022-11-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-10-24 | 2022-11-16 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-10-24 | 2022-11-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-24 | 2022-11-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-24 | 2022-11-16 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-04-29 | 2019-05-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-04-29 | 2019-05-14 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-04-29 | 2019-05-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-04-29 | 2019-05-14 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-04-29 | 2019-05-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-29 | 2019-05-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-29 | 2019-05-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-29 | 2019-05-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-29 | 2019-05-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-04-29 | 2019-05-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-29 | 2019-05-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-14 | 2019-04-03 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-03-14 | 2019-04-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-14 | 2019-04-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-03-14 | 2019-04-02 | 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 | 2019-03-14 | 2019-04-01 | 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 | 2019-03-14 | 2019-04-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-19 | 2018-07-02 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-06-19 | 2018-07-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-06-19 | 2018-07-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-19 | 2018-07-02 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-06-19 | 2018-07-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-06-19 | 2018-07-02 | 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 | 2018-04-19 | 2018-05-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-19 | 2018-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-19 | 2018-05-16 | 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 | 2018-04-19 | 2018-05-16 | 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 | 2018-04-19 | 2018-05-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-19 | 2018-05-16 | N |
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