Deficiency Records for Adventist Health Delano
Updated as of May 01, 2024
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Deficiency Records for Adventist Health Delano
A list of the most recent deficiencies for Adventist Health Delano. 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 Adventist Health Delano. 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? |
---|---|---|---|---|
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 |
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 |
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 |
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 |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-16 | 2023-04-06 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | 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 |
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 |
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 safe and appropriate respiratory care for a resident when needed. | 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 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 |
Ensure medication error rates are not 5 percent or greater. | 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 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 |
Provide and implement an infection prevention and control program. | Health | 2023-03-16 | 2023-04-06 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-20 | 2023-04-06 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-20 | 2023-04-06 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-20 | 2023-04-06 | N |
Meet other general requirements that are deficient. | Fire Safety | 2023-03-20 | 2023-04-06 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-20 | 2023-04-06 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-20 | 2023-04-06 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-25 | 2023-01-26 | Y |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-13 | 2020-03-11 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2020-02-13 | 2020-03-11 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-02-13 | 2020-03-11 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-13 | 2020-03-11 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-13 | 2020-03-11 | N |
Meet other general requirements that are deficient. | Fire Safety | 2020-02-13 | 2020-03-11 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-13 | 2020-03-11 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-13 | 2020-03-11 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-23 | 2020-02-25 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-23 | 2020-02-25 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-05-16 | 2019-06-04 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-16 | 2019-06-04 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-16 | 2019-06-04 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-05-16 | 2019-06-04 | 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 |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-14 | 2019-04-02 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-03-14 | 2019-04-02 | 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 | 2019-04-02 | N |
Provide and implement an infection prevention and control program. | Health | 2019-03-14 | 2019-04-02 | N |
Keep all essential equipment working safely. | Health | 2019-03-14 | 2019-04-02 | N |
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