Deficiency Records for South Dennis Healthcare
Updated as of July 01, 2019
This is not the most recent data for South Dennis Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for South Dennis Healthcare. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-07 | 2019-05-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-02-07 | 2019-03-22 | N |
| Meet other general requirements. | Fire Safety | 2019-02-07 | 2019-03-22 | 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 | 2019-02-07 | 2019-03-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-02-07 | 2019-03-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-07 | 2019-03-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-07 | 2019-03-22 | N |
| Be properly staffed | Fire Safety | 2019-02-07 | 2019-03-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-02-07 | 2019-03-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-07 | 2019-03-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-11 | 2019-03-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-11 | 2019-02-21 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-01-11 | 2019-02-21 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-01-11 | 2019-02-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-11 | 2019-02-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-11 | 2019-02-21 | 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 | 2019-01-11 | 2019-02-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-11 | 2019-02-21 | 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 | 2019-01-11 | 2019-02-21 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-01-11 | 2019-02-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-11 | 2019-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-11 | 2019-02-21 | 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 | 2019-01-11 | 2019-02-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-11 | 2019-02-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-01-11 | 2019-02-21 | N |
| Provide activities to meet all resident's needs. | Health | 2019-01-11 | 2019-02-21 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2019-01-11 | 2019-02-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-11 | 2019-02-21 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-01-11 | 2019-02-21 | 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 | 2019-01-11 | 2019-02-21 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-01-11 | 2019-02-21 | 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 ne | Health | 2019-01-11 | 2019-02-21 | 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 | 2019-01-11 | 2019-02-21 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-01-11 | 2019-02-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-01-11 | 2019-02-21 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-01-11 | 2019-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-11 | 2019-02-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-01-11 | 2019-02-21 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-01-11 | 2019-02-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-01-11 | 2019-02-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-11 | 2019-02-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-12-17 | 2019-01-31 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-17 | 2019-01-31 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2018-12-17 | 2019-01-31 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-09-20 | 2017-10-31 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2017-08-30 | 2017-10-06 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-08-30 | 2017-10-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-30 | 2017-10-06 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-30 | 2017-10-06 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-07-06 | 2016-07-22 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-06-17 | 2016-07-14 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-06-17 | 2016-07-14 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-06-17 | 2016-07-14 | N |
