Deficiency Records for Devereux Skilled Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Devereux Skilled Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-03 | 2023-06-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-24 | 2022-10-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-24 | 2022-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-24 | 2022-10-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-24 | 2022-10-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-24 | 2022-10-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-24 | 2022-10-11 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-08-24 | 2022-10-11 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-08-24 | 2022-10-11 | 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 | 2022-08-24 | 2022-10-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-24 | 2022-10-11 | 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 | 2022-08-24 | 2022-10-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-24 | 2022-10-11 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-08-24 | 2022-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-24 | 2022-10-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-06 | 2022-09-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-23 | 2021-07-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-21 | 2019-12-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-21 | 2019-12-29 | 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 | 2019-11-21 | 2019-12-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-02 | 2019-12-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-16 | 2019-02-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-16 | 2019-02-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-16 | 2019-02-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-01-16 | 2019-02-26 | 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 | 2019-01-16 | 2019-02-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-16 | 2019-02-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-16 | 2019-02-26 | N |
