Deficiency Records for Dekalb County Rehab and Nursing
Updated as of June 01, 2019
This is not the most recent data for Dekalb County Rehab and Nursing. For the most recent information, click here.
A list of the most recent deficiencies for Dekalb County Rehab and Nursing. 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 | 2019-03-19 | 2019-05-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-19 | 2019-04-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-03-19 | 2019-04-27 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-03-07 | 2019-04-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-03-07 | 2019-04-19 | 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 | 2019-03-07 | 2019-04-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-07 | 2019-04-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-07 | 2019-04-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-07 | 2019-04-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-07 | 2019-04-19 | 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 | 2019-03-07 | 2019-04-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-07 | 2019-04-19 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-03-07 | 2019-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-07 | 2019-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-07 | 2019-04-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-07 | 2019-04-19 | 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 | 2019-03-07 | 2019-04-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-07 | 2019-04-19 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-19 | 2019-04-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-03-19 | 2019-04-03 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-03-19 | 2019-03-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-03-19 | 2019-03-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-19 | 2019-03-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-03-19 | 2019-03-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-19 | 2019-03-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-19 | 2019-03-20 | N |
| Have a properly installed medical gas master alarm panel. | Fire Safety | 2019-03-19 | 2019-03-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-01-30 | 2019-02-16 | Y |
| 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 | 2018-02-07 | 2018-03-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-14 | 2018-03-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-02-14 | 2018-03-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-02-14 | 2018-03-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-02-14 | 2018-03-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-14 | 2018-03-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-02-14 | 2018-03-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-02-14 | 2018-03-07 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-02-14 | 2018-03-07 | N |
| Ensure medical gas and air supply systems in which failure is likely to cause major injury or death, are correctly designated. | Fire Safety | 2018-02-14 | 2018-03-07 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2018-02-14 | 2018-03-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-02-14 | 2018-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-14 | 2018-03-07 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-02-14 | 2018-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-21 | 2018-03-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-07 | 2018-03-02 | 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 | 2018-02-07 | 2018-03-02 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-02-07 | 2018-03-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-02-07 | 2018-03-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-07 | 2018-03-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-07 | 2018-03-02 | 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 | 2018-02-07 | 2018-03-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-07 | 2018-03-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-02-07 | 2018-03-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-07 | 2018-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-07 | 2018-03-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-31 | 2018-01-31 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-28 | 2017-07-14 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-04-13 | 2017-06-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-04-13 | 2017-05-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-04-13 | 2017-05-04 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-04-13 | 2017-05-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-04-13 | 2017-05-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-04-13 | 2017-05-04 | N |
| Use approved construction type or materials. | Fire Safety | 2017-04-13 | 2017-05-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-04-13 | 2017-05-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-13 | 2017-05-02 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-04-06 | 2017-05-02 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-04-06 | 2017-05-02 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-06 | 2017-05-02 | N |
| Provide food in a way that meets a resident's needs. | Health | 2017-04-06 | 2017-05-02 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-06 | 2017-05-02 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-06 | 2017-05-02 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-02-01 | 2017-02-17 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-02-01 | 2017-02-17 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-01-10 | 2017-01-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-11-07 | 2016-11-16 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-11-07 | 2016-11-14 | Y |
