A list of the most recent deficiencies for D'youville Senior Care. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-02 | 2023-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-02 | 2023-06-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-04-13 | 2023-05-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-13 | 2023-05-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-13 | 2023-05-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-13 | 2023-05-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-13 | 2023-05-22 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-13 | 2023-05-22 | 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 | 2023-04-13 | 2023-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-13 | 2023-05-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-13 | 2023-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-07 | 2023-02-20 | 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 | 2022-03-11 | 2022-05-09 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-03-11 | 2022-04-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-11 | 2022-04-13 | N |
| Respond appropriately to all alleged violations. | Health | 2022-03-11 | 2022-04-13 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-03-11 | 2022-04-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-11 | 2022-04-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-11 | 2022-04-13 | N |
| Provide activities to meet all resident's needs. | Health | 2022-03-11 | 2022-04-13 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-03-11 | 2022-04-13 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-03-11 | 2022-04-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-11 | 2022-04-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-11 | 2022-04-13 | 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 | 2022-03-11 | 2022-04-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-11 | 2022-04-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-11 | 2022-04-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-11 | 2022-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-12 | 2022-01-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-02 | 2019-09-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-02 | 2019-09-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-02 | 2019-09-06 | N |
