A list of the most recent deficiencies for Devonshire Care 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? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-18 | 2022-11-07 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-18 | 2022-11-07 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-10 | 2019-12-23 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-12-10 | 2019-12-23 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-10 | 2019-12-23 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-10 | 2019-12-23 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-10 | 2019-12-23 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-10 | 2019-12-23 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-10 | 2019-12-23 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-12-10 | 2019-12-23 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-18 | 2019-12-02 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-18 | 2019-12-02 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-18 | 2019-12-02 | 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 | 2019-11-18 | 2019-12-02 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-18 | 2019-12-02 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-18 | 2019-11-25 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-06 | 2019-05-08 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-06 | 2018-12-03 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-06 | 2018-12-03 | N |
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 | 2018-10-18 | 2018-11-29 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-18 | 2018-11-27 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-18 | 2018-11-13 | N |
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 | 2018-10-18 | 2018-11-13 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-18 | 2018-11-13 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-03-28 | 2017-06-15 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-25 | 2017-05-30 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-04-25 | 2017-05-30 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-04-25 | 2017-05-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-25 | 2017-05-11 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-28 | 2017-04-21 | N |
Provide housekeeping and maintenance services. | Health | 2017-03-28 | 2017-04-21 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-28 | 2017-04-21 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-03-28 | 2017-04-21 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-28 | 2017-04-21 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-03-28 | 2017-04-21 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-28 | 2017-04-21 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-28 | 2017-04-21 | N |