Deficiency Records for Dade City Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Dade City Health 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 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 | 2023-10-06 | 2023-12-13 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-10-06 | 2023-12-13 | 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 | 2023-10-06 | 2023-11-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-06 | 2023-11-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-06 | 2023-11-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-06 | 2023-11-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-06 | 2023-11-06 | 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 | 2023-10-06 | 2023-11-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-06 | 2023-11-06 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-03-21 | 2023-04-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-20 | 2022-07-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-20 | 2022-07-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-09 | 2022-06-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-11 | 2022-03-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-02-11 | 2022-03-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-11 | 2022-03-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-11 | 2022-03-10 | N |
| 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 | 2022-02-11 | 2022-03-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-11 | 2022-03-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-11 | 2022-03-10 | N |
| Report COVID19 data to residents and families. | Health | 2022-02-11 | 2022-03-10 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-11 | 2022-03-10 | 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 | 2022-02-11 | 2022-03-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-11-19 | 2020-12-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-11-19 | 2020-12-16 | 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 | 2020-11-19 | 2020-12-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-11-19 | 2020-12-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-11-19 | 2020-12-16 | N |
| Provide activities to meet all resident's needs. | Health | 2020-11-19 | 2020-12-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-11-19 | 2020-12-16 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-11-19 | 2020-12-16 | 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 | 2020-11-19 | 2020-12-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-11-19 | 2020-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-11-19 | 2020-12-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-11-19 | 2020-12-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-11-19 | 2020-12-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-11-19 | 2020-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-11-19 | 2020-12-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-11-19 | 2020-12-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-11-19 | 2020-12-16 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-01-31 | 2019-03-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-31 | 2019-03-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-31 | 2019-03-01 | 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 | 2019-01-31 | 2019-03-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-01-31 | 2019-03-01 | 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 | 2019-01-31 | 2019-03-01 | 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 | 2019-01-31 | 2019-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-31 | 2019-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-31 | 2019-03-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-01-31 | 2019-03-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
