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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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