A list of the most recent deficiencies for Dunlap Specialty Care. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-04 | 2023-06-14 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-05-04 | 2023-06-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-04 | 2023-06-14 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-05-04 | 2023-06-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-04 | 2023-06-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-04 | 2023-06-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-04 | 2023-06-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-04 | 2023-06-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-04 | 2023-06-14 | Y |
| 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 | 2023-05-04 | 2023-06-14 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-04 | 2023-06-14 | Y |
| 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 | 2023-05-04 | 2023-06-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-04 | 2023-06-14 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-05-04 | 2023-06-14 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-04 | 2023-05-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-04 | 2023-05-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-04 | 2023-05-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-04 | 2023-05-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-04 | 2023-05-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-14 | 2022-06-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-02-14 | 2022-06-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-14 | 2022-06-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-14 | 2022-06-17 | 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 | 2022-02-14 | 2022-06-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-14 | 2022-06-17 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-02-14 | 2022-03-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-02-14 | 2022-03-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-14 | 2022-03-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-02-14 | 2022-03-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-02-14 | 2022-03-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-14 | 2022-03-14 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-02-14 | 2022-03-14 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-02-14 | 2022-03-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-14 | 2022-03-14 | 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 | 2022-02-14 | 2022-03-14 | 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 | 2022-02-14 | 2022-03-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-02-14 | 2022-03-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-14 | 2022-03-14 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2022-02-14 | 2022-03-14 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-02-14 | 2022-03-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-02-14 | 2022-03-14 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-02-14 | 2022-03-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-14 | 2022-03-14 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-02-14 | 2022-03-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-14 | 2022-03-14 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-02-14 | 2022-03-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-14 | 2022-03-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-14 | 2022-03-14 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-02-14 | 2022-03-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-14 | 2022-03-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-14 | 2022-03-14 | 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 | 2022-02-14 | 2022-03-14 | Y |
| 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 | 2022-02-14 | 2022-03-14 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-02-14 | 2022-03-14 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-02-14 | 2022-03-14 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-02-14 | 2022-03-14 | Y |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-02-02 | 2022-02-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-02-02 | 2022-02-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-02 | 2022-02-10 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-02-02 | 2022-02-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-02 | 2022-02-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-02 | 2022-02-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-02 | 2022-02-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-02 | 2022-02-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-01-15 | 2020-03-04 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-01-15 | 2020-03-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-15 | 2020-03-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-15 | 2020-03-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-15 | 2020-03-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-15 | 2020-03-04 | 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 | 2020-01-15 | 2020-03-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-23 | 2020-02-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-23 | 2020-02-23 | 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 | 2020-01-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-23 | 2020-01-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-23 | 2020-01-28 | N |
| Use approved construction type or materials. | Fire Safety | 2020-01-23 | 2020-01-27 | N |
