Deficiency Records for Derby Health and Rehabilitation, LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Derby Health and Rehabilitation, LLC. 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 properly protected cooking facilities. | Fire Safety | 2022-12-06 | 2023-01-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-06 | 2023-01-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-06 | 2023-01-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-06 | 2023-01-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-06 | 2023-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-08 | 2022-11-18 | 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 | 2022-11-08 | 2022-11-18 | N |
| Post nurse staffing information every day. | Health | 2022-11-08 | 2022-11-18 | 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 | 2022-11-08 | 2022-11-18 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-08 | 2021-06-20 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-03-10 | 2021-03-19 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-12-10 | 2019-01-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-12-10 | 2019-01-09 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-12-10 | 2019-01-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-12-10 | 2019-01-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-10 | 2019-01-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-12-10 | 2019-01-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-12-10 | 2019-01-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-10 | 2019-01-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-10 | 2019-01-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-12-10 | 2019-01-09 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-12-10 | 2018-12-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-10 | 2018-12-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-10 | 2018-12-10 | N |
