Deficiency Records for West Delray Nursing and Rehab Center
Updated as of April 01, 2024
A list of the most recent deficiencies for West Delray Nursing and Rehab 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-11-30 | 2023-12-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-30 | 2023-12-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-30 | 2023-12-30 | 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 | 2023-11-30 | 2023-12-30 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-11-30 | 2023-12-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-30 | 2023-12-30 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-11-30 | 2023-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-30 | 2023-12-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-30 | 2023-12-30 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-11-30 | 2023-12-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-30 | 2023-12-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-06 | 2022-11-05 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-07-28 | 2022-08-27 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-07-28 | 2022-08-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-28 | 2022-08-27 | 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 | 2022-07-28 | 2022-08-27 | 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 | 2022-07-28 | 2022-08-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-28 | 2022-08-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-28 | 2022-08-27 | 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 | 2022-07-28 | 2022-08-27 | 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 | 2022-07-28 | 2022-08-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-28 | 2022-08-27 | N |
| Keep all essential equipment working safely. | Health | 2022-06-14 | 2022-07-14 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2021-09-29 | 2021-10-29 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-07-09 | 2021-08-09 | 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 | 2021-07-09 | 2021-08-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-09 | 2021-08-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-09 | 2021-08-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-09 | 2021-08-09 | 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 | 2021-07-09 | 2021-08-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-09 | 2021-08-09 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-07-12 | 2021-08-09 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-07-12 | 2021-08-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-12 | 2021-08-09 | N |
