Deficiency Records for Danville Regional Rehabilitation
Updated as of August 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 |