A list of the most recent deficiencies for The Estates at Delano LLC. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-01-04 | 2024-02-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-04 | 2024-02-06 | N |
| Respond appropriately to all alleged violations. | Health | 2024-01-04 | 2024-02-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-04 | 2024-02-06 | N |
| Post nurse staffing information every day. | Health | 2024-01-04 | 2024-02-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-04 | 2024-02-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-04 | 2024-02-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-04 | 2024-02-06 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-01-04 | 2024-02-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-04 | 2024-02-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-04 | 2024-02-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-04 | 2024-02-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-29 | 2024-01-05 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-02-08 | 2023-03-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-08 | 2023-03-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-08 | 2023-03-25 | 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 | 2023-02-08 | 2023-03-25 | 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 | 2020-09-03 | 2020-10-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-03 | 2020-10-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-09-03 | 2020-10-09 | 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 | 2020-09-03 | 2020-10-09 | 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 | 2020-09-03 | 2020-10-09 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-09-03 | 2020-10-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-03 | 2020-10-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-09-01 | 2020-10-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-09-01 | 2020-10-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-01 | 2020-10-09 | N |
