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Deficiency Records for Adventist Health Delano
View the most recent health deficiencies and inspection results for Adventist Health Delano. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Adventist Health Delano. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-11-05 | 2025-12-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-11-19 | 2025-11-20 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2025-07-03 | 2025-10-29 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-07-03 | 2025-10-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-08-20 | 2025-09-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-10 | 2025-05-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-04-10 | 2025-05-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-10 | 2025-05-12 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2025-04-10 | 2025-05-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-10 | 2025-05-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-04-10 | 2025-05-12 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-04-10 | 2025-05-12 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-04-10 | 2025-05-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-10 | 2025-05-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-04-10 | 2025-04-25 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-01-21 | 2025-02-18 | 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 | 2025-01-21 | 2025-02-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-21 | 2025-02-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-21 | 2025-02-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-29 | 2025-02-12 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-01-29 | 2025-02-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-01-08 | 2025-01-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-09 | 2024-12-27 | Y |
| Provide appropriate foot care. | Health | 2024-10-09 | 2024-12-27 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-10-09 | 2024-12-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-09 | 2024-08-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-22 | 2024-06-13 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-22 | 2024-06-13 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-22 | 2024-06-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-11 | 2024-05-06 | 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 | 2024-04-11 | 2024-05-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-11 | 2024-05-06 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-04-11 | 2024-05-06 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-11 | 2024-05-06 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-04-11 | 2024-05-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-11 | 2024-05-06 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-11 | 2024-05-06 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-04-11 | 2024-05-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-11 | 2024-05-06 | 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 | 2024-04-11 | 2024-05-06 | Y |
| 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 | 2024-04-11 | 2024-05-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-11 | 2024-05-06 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-04-11 | 2024-05-06 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-04-11 | 2024-05-06 | Y |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-04-11 | 2024-05-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-11 | 2024-05-03 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-04-11 | 2024-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-11 | 2024-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-11 | 2024-05-03 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-26 | 2024-04-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-06 | 2024-03-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-01 | 2024-03-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-01 | 2024-03-01 | 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 | 2024-02-01 | 2024-03-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-19 | 2024-02-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-19 | 2024-02-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-01-19 | 2024-02-08 | 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 | 2023-09-29 | 2023-10-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-16 | 2023-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-16 | 2023-04-06 | 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 | 2023-03-16 | 2023-04-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-16 | 2023-04-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-16 | 2023-04-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-16 | 2023-04-06 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-16 | 2023-04-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-16 | 2023-04-06 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-03-16 | 2023-04-06 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-03-16 | 2023-04-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-16 | 2023-04-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-16 | 2023-04-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-16 | 2023-04-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-16 | 2023-04-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-16 | 2023-04-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-03-16 | 2023-04-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-16 | 2023-04-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-16 | 2023-04-06 | N |