A list of the most recent deficiencies for Denton Nursing and Rehab. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-31 | 2023-10-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-31 | 2023-10-06 | 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 | 2023-08-31 | 2023-10-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-31 | 2023-10-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-31 | 2023-10-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-31 | 2023-10-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-31 | 2023-10-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-31 | 2023-10-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-31 | 2023-10-06 | 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 | 2023-08-31 | 2023-10-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-31 | 2023-10-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-31 | 2023-10-06 | 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 | 2023-08-31 | 2023-10-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-31 | 2023-10-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-31 | 2023-10-06 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-08-31 | 2023-10-06 | 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 | 2023-08-31 | 2023-10-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-31 | 2023-10-06 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-08-31 | 2023-10-06 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-08-31 | 2023-05-15 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-02-24 | 2023-03-24 | 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 | 2023-02-24 | 2023-03-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-24 | 2023-03-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-24 | 2023-03-24 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-02-24 | 2023-03-24 | Y |
| Post nurse staffing information every day. | Health | 2023-02-24 | 2023-03-24 | 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 | 2023-02-24 | 2023-03-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-24 | 2023-03-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-18 | 2021-09-22 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-08-18 | 2021-09-22 | 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 | 2021-08-18 | 2021-09-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-18 | 2021-09-22 | Y |
| 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 | 2019-08-21 | 2019-10-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-21 | 2019-10-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-21 | 2019-10-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-08-21 | 2019-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-21 | 2019-10-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-21 | 2019-10-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-08-21 | 2019-10-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-21 | 2019-10-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-21 | 2019-10-21 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-08-21 | 2019-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-21 | 2019-10-21 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-08-21 | 2019-10-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-26 | 2019-09-19 | N |
| 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 | 2019-07-26 | 2019-09-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-07-26 | 2019-09-19 | 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 | 2019-07-26 | 2019-09-19 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-07-26 | 2019-09-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-26 | 2019-09-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-26 | 2019-09-19 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-07-26 | 2019-09-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-26 | 2019-09-19 | 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 | 2019-07-26 | 2019-09-19 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-26 | 2019-09-19 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-07-26 | 2019-09-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-07-26 | 2019-09-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-26 | 2019-09-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-26 | 2019-09-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-07-26 | 2019-09-19 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-03-28 | 2018-07-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-03-28 | 2018-07-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-03-28 | 2018-06-29 | 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 | 2018-03-28 | 2018-06-15 | 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 | 2018-03-28 | 2018-06-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-03-28 | 2018-06-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-03-28 | 2018-05-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-28 | 2018-05-11 | N |
| Respond appropriately to all alleged violations. | Health | 2018-03-28 | 2018-05-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-03-28 | 2018-05-11 | 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 | 2018-03-28 | 2018-05-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-28 | 2018-05-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-28 | 2018-05-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-28 | 2018-05-11 | 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 | 2018-03-28 | 2018-05-11 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-03-28 | 2018-05-11 | N |
| 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 | 2018-03-28 | 2018-05-11 | 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 | 2018-03-28 | 2018-05-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-28 | 2018-05-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-28 | 2018-05-11 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-12-15 | 2017-01-26 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-12-15 | 2017-01-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-12-15 | 2017-01-26 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-12-15 | 2017-01-26 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-12-15 | 2017-01-26 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-15 | 2017-01-26 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-15 | 2017-01-26 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-12-15 | 2017-01-26 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-12-15 | 2017-01-26 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2016-12-15 | 2017-01-26 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-15 | 2017-01-26 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-15 | 2017-01-26 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-12-15 | 2017-01-26 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-12-15 | 2017-01-26 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-15 | 2017-01-26 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-12-15 | 2017-01-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2016-12-07 | 2017-01-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-12-07 | 2017-01-19 | N |
