A list of the most recent deficiencies for Abbey Delray. 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? |
|---|---|---|---|---|
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-06-21 | 2023-07-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-21 | 2023-07-21 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-14 | 2023-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-14 | 2023-04-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-14 | 2023-04-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-14 | 2023-04-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-17 | 2023-04-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-17 | 2023-04-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-17 | 2023-04-05 | 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 | 2023-03-17 | 2023-04-05 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-03-17 | 2023-04-05 | 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 | 2023-03-17 | 2023-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-17 | 2023-04-05 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-03-17 | 2023-04-05 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2023-03-17 | 2023-04-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-12 | 2022-06-22 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-23 | 2021-12-23 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-11-23 | 2021-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-23 | 2021-12-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-18 | 2021-12-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-18 | 2021-12-18 | N |
| Provide activities to meet all resident's needs. | Health | 2021-11-18 | 2021-12-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-11-18 | 2021-12-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-18 | 2021-12-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-09-24 | 2020-10-24 | 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 | 2020-09-24 | 2020-10-24 | 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 | 2020-09-24 | 2020-10-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-09-24 | 2020-10-24 | N |
| Post nurse staffing information every day. | Health | 2020-09-24 | 2020-10-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-09-24 | 2020-10-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-24 | 2020-10-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-24 | 2020-10-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-22 | 2020-10-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-09-22 | 2020-10-15 | N |
