Deficiency Records for Ivy at Davenport
Updated as of June 01, 2022
This is not the most recent data for Ivy at Davenport. For the most recent information, click here.
A list of the most recent deficiencies for Ivy at Davenport. 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? |
---|---|---|---|---|
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-02-10 | 2022-03-10 | N |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-02-10 | 2022-03-10 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-02-10 | 2022-03-10 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-02-10 | 2022-03-10 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-10 | 2022-03-10 | 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 | 2022-02-10 | 2022-03-10 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-02-10 | 2022-03-10 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-02-10 | 2022-03-10 | 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 | 2022-02-10 | 2022-03-10 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-10 | 2022-03-10 | N |
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 | 2022-02-10 | 2022-03-10 | N |
Post nurse staffing information every day. | Health | 2022-02-10 | 2022-03-10 | 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 | 2022-02-10 | 2022-03-10 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-02-10 | 2022-03-10 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-02-10 | 2022-03-10 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-10 | 2022-03-10 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-10 | 2022-03-10 | Y |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-02-10 | 2022-03-10 | Y |
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-02-10 | 2022-03-10 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-10 | 2022-03-10 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-10 | 2022-03-10 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-10 | 2022-03-10 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-10 | 2022-03-10 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-10 | 2022-03-10 | Y |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-02-10 | 2022-03-10 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-10 | 2022-03-10 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-10 | 2022-03-10 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-10 | 2022-03-10 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-03-10 | Y |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-10 | 2022-03-10 | Y |
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 | 2022-02-10 | 2022-03-10 | Y |
Provide a written emergency evacuation plan. | Fire Safety | 2022-02-09 | 2022-03-03 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-26 | 2022-02-26 | 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 | 2022-01-26 | 2022-02-26 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-26 | 2022-02-26 | 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 | 2022-01-26 | 2022-02-26 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-26 | 2022-02-26 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-01-26 | 2022-02-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-26 | 2022-02-26 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-01-26 | 2022-02-26 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-26 | 2022-02-26 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-26 | 2022-02-26 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-26 | 2022-02-26 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-01-26 | 2022-02-26 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-26 | 2022-02-26 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-26 | 2022-02-26 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-01-26 | 2022-02-26 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-10 | 2022-02-24 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-10 | 2022-02-24 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2021-01-21 | 2021-02-26 | Y |
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-01-05 | 2021-02-15 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-01-05 | 2021-02-15 | Y |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-01-05 | 2021-02-15 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-01-05 | 2021-02-15 | Y |
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2021-01-05 | 2021-02-15 | 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 | 2021-01-05 | 2021-02-15 | Y |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-01-05 | 2021-02-15 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-01-05 | 2021-02-15 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-01-05 | 2021-02-15 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-01-05 | 2021-02-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-05 | 2021-02-15 | Y |
Ensure that residents are free from significant medication errors. | Health | 2021-01-05 | 2021-02-15 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-01-05 | 2021-02-15 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-01-05 | 2021-02-15 | Y |
Perform COVID19 testing on residents and staff. | Health | 2021-01-05 | 2021-02-15 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-01-05 | 2021-02-15 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-09-03 | 2020-10-15 | Y |
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2020-09-03 | 2020-10-15 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-09-03 | 2020-10-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-03 | 2020-10-15 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-03 | 2020-10-15 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-09-03 | 2020-10-15 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-06-11 | 2020-06-11 | Y |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-03-04 | 2020-03-26 | Y |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2020-02-20 | 2020-03-26 | Y |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2020-02-20 | 2020-03-26 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-20 | 2020-03-26 | 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 | 2019-10-31 | 2019-11-15 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-31 | 2019-11-15 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-31 | 2019-11-15 | 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 | 2019-10-31 | 2019-11-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-31 | 2019-11-15 | 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 | 2019-10-31 | 2019-11-15 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-31 | 2019-11-15 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-31 | 2019-11-15 | 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 | 2019-10-31 | 2019-11-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-31 | 2019-11-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-31 | 2019-11-15 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-31 | 2019-11-15 | N |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-10-31 | 2019-11-15 | 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 | 2019-10-31 | 2019-11-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-31 | 2019-11-15 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-10-31 | 2019-11-15 | N |
Provide and implement an infection prevention and control program. | Health | 2019-10-31 | 2019-11-15 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-31 | 2019-11-15 | Y |
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2019-10-17 | 2019-11-15 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-17 | 2019-11-15 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-17 | 2019-11-15 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-17 | 2019-11-15 | Y |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-10-17 | 2019-11-15 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-31 | 2019-11-14 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-10-31 | 2019-11-08 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-10-31 | 2019-11-07 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-31 | 2019-11-07 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-31 | 2019-11-06 | 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 | 2019-10-31 | 2019-11-06 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-10-31 | 2019-11-06 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-10-31 | 2019-11-06 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-31 | 2019-11-06 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2019-10-31 | 2019-11-06 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-31 | 2019-11-06 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-31 | 2019-11-06 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-31 | 2019-08-16 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-31 | 2019-08-16 | Y |
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-06-05 | 2019-08-06 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-05 | 2019-07-23 | Y |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-22 | 2018-09-22 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-08-22 | 2018-09-22 | N |
Develop a communication plan. | Fire Safety | 2018-08-22 | 2018-09-22 | N |
Establish emergency prep training and testing. | Fire Safety | 2018-08-22 | 2018-09-22 | N |
Use approved construction type or materials. | Fire Safety | 2018-08-22 | 2018-09-22 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-22 | 2018-09-22 | N |
Install resident room doors of proper design and width. | Fire Safety | 2018-08-22 | 2018-09-22 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-08-22 | 2018-09-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-22 | 2018-09-22 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-08-22 | 2018-09-22 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-22 | 2018-09-22 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2018-08-22 | 2018-09-22 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-22 | 2018-09-22 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-22 | 2018-09-22 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-22 | 2018-09-22 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-08-16 | 2018-09-16 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-16 | 2018-09-16 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-16 | 2018-09-16 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-16 | 2018-09-16 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-16 | 2018-09-16 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-08-16 | 2018-09-16 | N |
Post nurse staffing information every day. | Health | 2018-08-16 | 2018-09-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-16 | 2018-09-16 | N |
Provide and implement an infection prevention and control program. | Health | 2018-08-16 | 2018-09-16 | N |