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Deficiency Records for Delmar Gardens West
View the most recent health deficiencies and inspection results for Delmar Gardens West. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Delmar Gardens West. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-11 | 2025-05-13 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-04-11 | 2025-05-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-11 | 2025-05-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-11 | 2025-05-13 | 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 | 2025-04-11 | 2025-05-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-04-11 | 2025-05-13 | 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 | 2025-04-11 | 2025-05-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-11 | 2025-05-13 | 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 | 2025-04-11 | 2025-05-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-04-11 | 2025-05-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-11 | 2025-05-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-04-11 | 2025-05-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-04-11 | 2025-05-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-04-11 | 2025-05-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-09 | 2024-10-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-09 | 2024-10-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-21 | 2024-10-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-21 | 2024-10-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-08-21 | 2024-10-04 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-04-29 | 2024-06-03 | Y |
| 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 | 2024-04-29 | 2024-06-03 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-04-02 | 2024-03-24 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-17 | 2024-02-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-17 | 2024-02-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-17 | 2023-12-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-17 | 2023-12-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-17 | 2023-12-26 | 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 | 2023-11-17 | 2023-12-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-17 | 2023-12-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-17 | 2023-12-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-17 | 2023-12-26 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-11-17 | 2023-12-26 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-17 | 2023-12-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-11-17 | 2023-12-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-17 | 2023-12-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-17 | 2023-12-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-17 | 2023-12-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-17 | 2023-12-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-17 | 2023-12-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-17 | 2023-12-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-21 | 2023-07-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-15 | 2020-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-15 | 2020-03-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-15 | 2020-02-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-15 | 2020-02-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-15 | 2020-02-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-15 | 2020-02-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-15 | 2020-02-21 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-01-15 | 2020-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-15 | 2020-02-21 | 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 | 2020-01-15 | 2020-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-15 | 2020-02-21 | N |