Deficiency Records for Ivy at Davenport
Updated as of January 01, 2023
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 enough food/fluids to maintain a resident's health. | 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 |
| 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 |
| 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 |
