Deficiency Records for Danville Regional Rehabilitation
Updated as of March 01, 2022
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? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2020-10-09 | 2020-11-06 | 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 |
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 | 2020-01-16 | 2020-01-23 | Y |
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 |
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 |