Deficiency Records for Danville Regional Rehabilitation
Updated as of March 01, 2018
This is not the most recent data for Danville Regional Rehabilitation. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Establish emergency prep training and testing. | Fire Safety | 2017-12-28 | 2018-01-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-12-28 | 2018-01-30 | 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 | 2017-12-28 | 2018-01-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-12-28 | 2018-01-30 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-11-01 | 2017-11-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-11-01 | 2017-11-17 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-11-01 | 2017-11-17 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-11-01 | 2017-11-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-01 | 2017-11-17 | 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 | 2016-12-08 | 2017-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-12-08 | 2017-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2016-12-08 | 2017-01-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-12-08 | 2017-01-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2016-12-08 | 2017-01-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2016-12-08 | 2017-01-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-11-03 | 2016-11-30 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-03 | 2016-11-30 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-11-03 | 2016-11-30 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-11-03 | 2016-11-30 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-11-03 | 2016-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-03 | 2016-11-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-03 | 2016-11-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-03 | 2016-11-30 | N |
| Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. | Health | 2016-11-03 | 2016-11-30 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-03 | 2016-11-30 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-10 | 2016-04-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-10 | 2016-04-08 | Y |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-08-21 | 2015-09-20 | N |
| Portable fire extinguishers. | Fire Safety | 2015-08-21 | 2015-09-20 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-08-21 | 2015-09-20 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-08-21 | 2015-09-20 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2015-08-21 | 2015-09-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-08-21 | 2015-09-20 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2015-08-21 | 2015-09-20 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-08-21 | 2015-09-20 | N |
| 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 | 2015-08-21 | 2015-09-20 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-08-21 | 2015-09-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-21 | 2015-09-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-08-21 | 2015-09-20 | N |
| Try to resolve each resident's complaints quickly. | Health | 2015-08-21 | 2015-09-20 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-08-21 | 2015-09-20 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-08-21 | 2015-09-20 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-08-21 | 2015-09-20 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-08-21 | 2015-09-20 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-08-21 | 2015-09-20 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-08-21 | 2015-09-20 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-08-21 | 2015-09-20 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-08-21 | 2015-09-20 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-08-21 | 2015-09-20 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-08-21 | 2015-09-20 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-08-21 | 2015-09-20 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-08-21 | 2015-09-20 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2015-08-21 | 2015-09-20 | Y |
