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Deficiency Records for Duncanville Healthcare and Rehabilitation Center
A list of the most recent deficiencies for Duncanville Healthcare and Rehabilitation Center. 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 Duncanville Healthcare 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? |
---|---|---|---|---|
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 | 2024-07-10 | 2024-09-06 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-10 | 2024-09-06 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-10 | 2024-09-06 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-07-10 | 2024-09-06 | Y |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-07-10 | 2024-09-06 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-10 | 2024-09-06 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-10 | 2024-09-06 | Y |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-15 | 2024-08-12 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-25 | 2024-02-26 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-25 | 2024-02-26 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-25 | 2024-02-26 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-25 | 2024-02-26 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-25 | 2024-02-26 | Y |
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-02-25 | 2024-02-26 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-25 | 2024-02-26 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-02-25 | 2024-02-26 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-07 | 2024-02-08 | 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 | 2024-02-07 | 2024-02-08 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-12 | 2024-01-13 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-12 | 2024-01-13 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-12 | 2024-01-13 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-27 | 2023-09-28 | Y |
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 | 2023-09-27 | 2023-09-28 | Y |
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 | 2023-09-27 | 2023-09-28 | Y |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-09-27 | 2023-09-28 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-27 | 2023-09-28 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-31 | 2023-09-01 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-04 | 2023-08-04 | 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 | 2023-07-18 | 2023-07-19 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-07-18 | 2023-07-19 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-24 | 2023-06-21 | N |
Provide and implement an infection prevention and control program. | Health | 2023-05-24 | 2023-06-21 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-24 | 2023-06-21 | 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 | 2023-05-25 | 2023-06-21 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-25 | 2023-06-21 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-25 | 2023-06-21 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-19 | 2023-06-09 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-19 | 2023-06-09 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-29 | 2023-03-30 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-29 | 2023-03-30 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-29 | 2023-03-30 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-22 | 2023-03-23 | Y |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-01-05 | 2023-01-09 | Y |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-12-02 | 2023-01-01 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-12-06 | 2022-12-29 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-12-06 | 2022-12-29 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-12 | 2022-12-12 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-12 | 2022-12-12 | Y |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-10-21 | 2022-11-09 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-10 | 2022-10-28 | Y |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-10-10 | 2022-10-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-25 | 2022-08-25 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-04 | 2022-08-12 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-04 | 2022-08-12 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-04 | 2022-08-12 | Y |
Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2022-08-04 | 2022-08-12 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-27 | 2022-06-27 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-24 | 2022-06-21 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-24 | 2022-06-21 | 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 | 2022-02-28 | 2022-03-31 | N |
Install proper backup exit lighting. | Fire Safety | 2022-02-28 | 2022-03-31 | 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 | 2022-02-28 | 2022-03-03 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-02-28 | 2022-03-02 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-28 | 2022-03-01 | 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 | 2022-02-25 | 2022-02-26 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-12-14 | 2022-01-07 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-20 | 2021-12-21 | Y |
Ensure that residents are free from significant medication errors. | Health | 2021-12-20 | 2021-12-21 | Y |
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 | 2023-09-11 | Not Fixed | 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 | 2023-09-11 | Not Fixed | Y |
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