Deficiency Records for South Dennis Healthcare
Updated as of August 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 |