Deficiency Records for Dedham Healthcare
Updated as of November 01, 2020
This is not the most recent data for Dedham Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for Dedham 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-06 | 2020-01-15 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-26 | 2019-10-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-29 | 2019-09-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-07-29 | 2019-09-12 | 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 | 2019-07-29 | 2019-09-12 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-07-29 | 2019-09-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-29 | 2019-09-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-29 | 2019-09-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-29 | 2019-09-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-07-29 | 2019-09-12 | N |
| Provide appropriate foot care. | Health | 2019-07-29 | 2019-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-29 | 2019-09-12 | 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 | 2019-07-29 | 2019-09-12 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-07-29 | 2019-09-12 | 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 | 2019-07-29 | 2019-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-29 | 2019-09-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-29 | 2019-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-29 | 2019-09-12 | N |
| Keep all essential equipment working safely. | Health | 2019-07-29 | 2019-09-12 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-07-29 | 2019-09-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-09 | 2019-02-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-01-09 | 2019-02-21 | Y |
| 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 | 2018-06-13 | 2018-07-28 | 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 | 2018-06-13 | 2018-07-28 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-06-13 | 2018-07-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-13 | 2018-07-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-06-13 | 2018-07-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-13 | 2018-07-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-06-13 | 2018-07-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-13 | 2018-07-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-06-13 | 2018-07-28 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-06-13 | 2018-07-28 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-06-13 | 2018-07-28 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-06-13 | 2018-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-13 | 2018-07-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-06-13 | 2018-07-28 | 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 | 2018-06-13 | 2018-07-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-06-12 | 2018-07-27 | N |
| Be properly staffed | Fire Safety | 2018-06-12 | 2018-07-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-12 | 2018-06-29 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-02-01 | 2017-04-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-01 | 2017-04-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-02-01 | 2017-04-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-03-29 | 2017-04-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-02-01 | 2017-03-01 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-02-01 | 2017-03-01 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-02-01 | 2017-03-01 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-02-01 | 2017-03-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-01 | 2017-03-01 | N |
