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Deficiency Records for Devlin Manor Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Devlin Manor Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Devlin Manor Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-20 | 2026-04-24 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2026-03-20 | 2026-04-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-03-20 | 2026-04-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-20 | 2026-04-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-20 | 2026-04-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-12 | 2025-10-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-12 | 2025-10-10 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2025-01-17 | 2025-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-17 | 2025-02-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-01-17 | 2025-02-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-01-17 | 2025-02-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-01-17 | 2025-02-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-17 | 2025-02-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-01-17 | 2025-02-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-17 | 2025-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-17 | 2025-01-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-20 | 2023-09-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-20 | 2023-09-30 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-09-20 | 2022-07-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-08 | 2019-12-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-08 | 2019-12-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-08 | 2019-12-04 | N |
| Respond appropriately to all alleged violations. | Health | 2018-06-15 | 2018-07-15 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-06-15 | 2018-07-15 | N |
| Keep all essential equipment working safely. | Health | 2018-06-15 | 2018-07-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-15 | 2018-07-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-15 | 2018-07-15 | 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 | 2018-06-15 | 2018-07-15 | 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 | 2018-06-15 | 2018-07-15 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-06-15 | 2018-07-15 | N |
| Provide activities to meet all resident's needs. | Health | 2018-06-15 | 2018-07-15 | 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 | 2018-06-15 | 2018-07-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-15 | 2018-07-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-15 | 2018-07-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-15 | 2018-07-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-15 | 2018-07-15 | 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 | 2018-06-15 | 2018-07-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-15 | 2018-07-15 | N |
| 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 | 2018-06-15 | 2018-07-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-15 | 2018-07-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-06-15 | 2018-07-11 | 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 | 2018-06-15 | 2018-07-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-15 | 2018-07-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-06-15 | 2018-07-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2026-03-20 | Not Fixed | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2026-03-20 | Not Fixed | Y |