A list of the most recent deficiencies for Goldwater Care Danville. 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? |
---|---|---|---|---|
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-06 | 2024-05-03 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-06 | 2024-03-21 | N |
Provide family notifications of emergency plan. | Fire Safety | 2024-03-06 | 2024-03-18 | N |
Implement a program that monitors antibiotic use. | Health | 2024-02-23 | 2024-03-13 | N |
Provide and implement an infection prevention and control program. | Health | 2024-02-23 | 2024-03-12 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-23 | 2024-03-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-23 | 2024-03-11 | N |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-02-23 | 2024-03-11 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-23 | 2024-03-10 | N |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-02-23 | 2024-03-09 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-23 | 2024-03-09 | 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 | 2024-02-23 | 2024-03-09 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-02-23 | 2024-03-08 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-23 | 2024-03-08 | N |
Establish staff and initial training requirements. | Fire Safety | 2024-03-06 | 2024-03-08 | N |
Establish methods for sharing information. | Fire Safety | 2024-03-06 | 2024-03-07 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-06 | 2024-03-07 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-23 | 2024-02-28 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-23 | 2024-02-26 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-02-23 | 2024-02-24 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-29 | 2024-01-18 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-29 | 2024-01-18 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-29 | 2024-01-16 | Y |
Ensure each resident receives an accurate assessment. | Health | 2023-12-29 | 2024-01-16 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-17 | 2023-08-23 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-08-23 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-18 | 2023-05-09 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-18 | 2023-05-09 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-18 | 2023-05-05 | Y |
Respond appropriately to all alleged violations. | Health | 2023-04-18 | 2023-05-05 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-18 | 2023-05-05 | Y |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-01-20 | 2023-02-14 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-20 | 2023-02-14 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-01-17 | 2023-02-08 | N |
Establish staff and initial training requirements. | Fire Safety | 2023-01-17 | 2023-02-08 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-17 | 2023-01-31 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-11 | 2022-06-03 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-11 | 2022-06-03 | Y |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-12-15 | 2021-12-25 | N |
Provide and implement an infection prevention and control program. | Health | 2021-11-18 | 2021-12-17 | N |
Keep residents' personal and medical records private and confidential. | Health | 2021-11-18 | 2021-12-10 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-18 | 2021-12-10 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-18 | 2021-12-10 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-18 | 2021-12-10 | 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 | 2021-11-18 | 2021-12-10 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-18 | 2021-12-10 | 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 | 2021-11-18 | 2021-12-10 | 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 | 2021-11-18 | 2021-12-10 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-18 | 2021-12-10 | N |
Ensure that residents are free from significant medication errors. | Health | 2021-11-18 | 2021-12-10 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-18 | 2021-12-10 | N |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-11-18 | 2021-12-10 | N |
Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-11-18 | 2021-12-10 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-11-18 | 2021-12-10 | N |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-11-18 | 2021-12-10 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-23 | 2021-09-17 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-08-23 | 2021-09-17 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-23 | 2021-09-17 | Y |
Respond appropriately to all alleged violations. | Health | 2021-08-23 | 2021-09-17 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-23 | 2021-09-17 | Y |