A list of the most recent deficiencies for Accolade Healthcare 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-09 | 2024-01-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-09 | 2024-01-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-09 | 2024-01-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-09 | 2024-01-26 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-27 | 2023-10-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-16 | 2023-08-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-10 | 2023-05-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-10 | 2023-05-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-10 | 2023-05-24 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-28 | 2023-04-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-28 | 2023-04-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-28 | 2023-04-11 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-03-28 | 2023-04-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-28 | 2023-04-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-28 | 2023-04-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-28 | 2023-04-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-28 | 2023-04-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-03-28 | 2023-04-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-28 | 2023-04-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-28 | 2023-04-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-28 | 2023-04-11 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2023-03-28 | 2023-04-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-28 | 2023-04-07 | 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 | 2023-03-02 | 2023-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-02 | 2023-03-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-02 | 2023-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-02 | 2023-03-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-02 | 2023-03-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-02 | 2023-03-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-02 | 2023-03-20 | 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 | 2023-03-02 | 2023-03-20 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-03-02 | 2023-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-02 | 2023-03-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-02 | 2023-03-20 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-02 | 2023-03-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-01 | 2023-02-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-01 | 2023-02-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-01 | 2023-02-22 | Y |
| 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 | 2023-02-01 | 2023-02-22 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-02-01 | 2023-02-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-07 | 2022-12-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-01 | 2022-09-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-01 | 2022-09-20 | 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 | 2022-07-14 | 2022-08-03 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-07-14 | 2022-08-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-14 | 2022-08-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-14 | 2022-08-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-06 | 2022-05-03 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-04-06 | 2022-05-03 | Y |
| 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 | 2022-04-06 | 2022-05-03 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-04-06 | 2022-05-03 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-06 | 2022-05-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-06 | 2022-05-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-06 | 2022-05-03 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-04-06 | 2022-05-03 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-06 | 2022-05-03 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2022-02-15 | 2022-03-17 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-02-22 | 2022-03-15 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2022-02-10 | 2022-03-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-17 | 2021-12-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-17 | 2021-12-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-17 | 2021-12-07 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-11-17 | 2021-12-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-10 | 2021-12-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-25 | 2021-11-16 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2021-10-25 | 2021-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-25 | 2021-11-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-06-29 | 2021-07-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-23 | 2021-05-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-09 | 2021-03-23 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-09 | 2021-03-23 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-27 | 2021-03-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-01-27 | 2021-02-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-01-27 | 2021-02-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-01-27 | 2021-02-04 | N |
| 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 | 2021-01-27 | 2021-02-04 | 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 | 2021-01-27 | 2021-02-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-01-27 | 2021-02-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-01-27 | 2021-02-04 | 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 | 2021-01-27 | 2021-02-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-01-27 | 2021-02-04 | 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 | 2021-01-27 | 2021-02-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-01-27 | 2021-02-04 | 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 | 2021-01-27 | 2021-02-04 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-01-27 | 2021-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-27 | 2021-02-04 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-01-27 | 2021-02-04 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-01-27 | 2021-02-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-01-27 | 2021-02-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-01-27 | 2021-02-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-01-27 | 2021-02-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-01-27 | 2021-02-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-01-27 | 2021-02-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-01-27 | 2021-02-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-01-27 | 2021-02-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-01-27 | 2021-02-04 | N |
