A list of the most recent deficiencies for Danville Regional Rehabilitation. 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-16 | 2023-04-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-16 | 2023-04-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-28 | 2023-03-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-28 | 2023-03-30 | 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 | 2023-02-28 | 2023-03-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-28 | 2023-03-30 | 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 | 2023-02-28 | 2023-03-30 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-02-28 | 2023-03-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-28 | 2023-03-30 | 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 | 2023-02-28 | 2023-03-30 | 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 | 2023-02-28 | 2023-03-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-28 | 2023-03-30 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-01-23 | 2020-02-12 | 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 | 2020-01-23 | 2020-02-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-01-23 | 2020-02-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-23 | 2020-02-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-23 | 2020-02-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-23 | 2020-02-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-23 | 2020-02-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-23 | 2020-02-12 | 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 | 2019-11-21 | 2019-12-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-11-21 | 2019-12-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-21 | 2019-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-21 | 2019-12-06 | 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 | 2019-11-21 | 2019-12-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-21 | 2019-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2019-12-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-23 | 2018-11-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-23 | 2018-11-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-23 | 2018-11-20 | 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 | 2018-10-23 | 2018-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-23 | 2018-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-23 | 2018-11-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-10-23 | 2018-11-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-23 | 2018-11-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-23 | 2018-11-19 | N |
