A list of the most recent deficiencies for Dwyer Home. 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? |
|---|---|---|---|---|
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-12-15 | 2024-01-19 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-12-15 | 2024-01-19 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-12-15 | 2024-01-19 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-12-15 | 2024-01-19 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-12-15 | 2024-01-19 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-12-15 | 2024-01-19 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-12-15 | 2024-01-19 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-12-15 | 2024-01-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-12-15 | 2024-01-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-15 | 2024-01-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-15 | 2024-01-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-12 | 2024-01-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-12 | 2024-01-10 | 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 | 2023-12-12 | 2024-01-10 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-12-12 | 2024-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-31 | 2023-02-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-03-25 | 2022-05-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-25 | 2022-05-06 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2022-03-25 | 2022-05-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-25 | 2022-05-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-25 | 2022-05-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-03-17 | 2022-04-29 | 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 | 2022-03-17 | 2022-04-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-17 | 2022-04-29 | 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 | 2022-03-17 | 2022-04-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-17 | 2022-04-29 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-03-17 | 2022-04-29 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-07-17 | 2019-08-15 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-07-17 | 2019-08-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-12-15 | Not Fixed | N |
