Deficiency Records for Delmar Gardens On The Green
Updated as of August 01, 2018
This is not the most recent data for Delmar Gardens On The Green. For the most recent information, click here.
A list of the most recent deficiencies for Delmar Gardens On The Green. 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? |
|---|---|---|---|---|
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-06-27 | 2017-08-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-06-27 | 2017-08-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-06-27 | 2017-08-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-06-27 | 2017-08-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-27 | 2017-08-22 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-06-27 | 2017-08-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-27 | 2017-08-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-27 | 2017-08-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-27 | 2017-08-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-06-09 | 2016-07-17 | Y |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2016-03-29 | 2016-05-09 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-03-29 | 2016-05-09 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-03-29 | 2016-05-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-08 | 2016-05-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-03-29 | 2016-05-04 | N |
| Maintain 15 months of resident assessments in the resident's active clinical record. | Health | 2016-03-29 | 2016-05-04 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-03-29 | 2016-05-04 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-03-29 | 2016-05-04 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-03-29 | 2016-05-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-09-11 | 2015-11-03 | Y |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-06-19 | 2015-08-02 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-06-19 | 2015-08-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-06-19 | 2015-08-02 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-06-19 | 2015-08-02 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-06-19 | 2015-08-02 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-06-19 | 2015-08-02 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-06-19 | 2015-08-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-06-19 | 2015-08-02 | N |
