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Deficiency Records for Delmar Gardens On The Green
View the most recent health deficiencies and inspection results for Delmar Gardens On The Green. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Delmar Gardens On The Green. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-07 | 2025-08-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-04-07 | 2025-05-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-04 | 2025-03-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-10-04 | 2025-03-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-04 | 2024-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-04 | 2024-11-20 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-10-04 | 2024-11-11 | N |
| Use approved construction type or materials. | Fire Safety | 2024-10-04 | 2024-11-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-04 | 2024-11-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-10-04 | 2024-11-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-04 | 2024-11-11 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-10-04 | 2024-11-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-04 | 2024-11-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-04 | 2024-11-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-10-04 | 2024-11-11 | 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 | 2024-10-04 | 2024-11-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-10-04 | 2024-11-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-04 | 2024-11-11 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-10-04 | 2024-11-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-10-04 | 2024-11-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-10-04 | 2024-11-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-04 | 2024-11-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-04 | 2024-11-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-10-04 | 2024-11-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-04 | 2024-11-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-10-04 | 2024-11-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-04 | 2024-11-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-10-04 | 2024-11-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-04 | 2024-11-11 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-10-04 | 2024-04-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-04 | 2024-03-18 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-10-11 | 2023-11-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-11 | 2023-11-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-11 | 2023-11-10 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-05 | 2023-05-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-05 | 2023-05-18 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-04-05 | 2023-05-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-05 | 2023-05-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-05 | 2023-05-12 | 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 | 2023-04-05 | 2023-05-12 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-04-05 | 2023-05-12 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-04-05 | 2023-05-12 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-05 | 2023-05-12 | N |
| Use approved construction type or materials. | Fire Safety | 2023-04-05 | 2023-05-12 | 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 | 2023-04-05 | 2023-05-12 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-04-05 | 2023-05-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-05 | 2023-05-12 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-04-05 | 2023-05-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-05 | 2023-05-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-05 | 2023-05-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-05 | 2023-05-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-25 | 2019-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-25 | 2019-08-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-25 | 2019-08-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-25 | 2019-08-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-25 | 2019-08-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-25 | 2019-08-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-25 | 2019-08-08 | 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 | 2019-06-25 | 2019-08-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-25 | 2019-08-08 | 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 | 2019-06-25 | 2019-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-25 | 2019-08-08 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-25 | 2019-08-08 | N |