Deficiency Records for Delmar Gardens On The Green
Updated as of August 01, 2020
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-19 | 2019-11-01 | Y |
| 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 |
| Use approved construction type or materials. | Fire Safety | 2019-06-25 | 2019-08-08 | N |
| Provide properly protected cooking facilities. | 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 smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-25 | 2019-08-08 | 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 services provided by the nursing facility meet professional standards of quality. | Health | 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 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-18 | 2019-06-06 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-18 | 2019-06-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-24 | 2018-11-30 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-06-29 | 2018-08-10 | 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 | 2018-06-29 | 2018-08-10 | 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 | 2018-06-29 | 2018-08-10 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-06-29 | 2018-08-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-06-29 | 2018-08-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-06-29 | 2018-08-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-06-29 | 2018-08-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-29 | 2018-08-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-06-29 | 2018-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-29 | 2018-08-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-29 | 2018-08-10 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2018-06-29 | 2018-08-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-06-29 | 2018-08-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-06-29 | 2018-08-10 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-06-29 | 2018-08-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-29 | 2018-08-10 | 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 | 2018-06-29 | 2018-08-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-29 | 2018-08-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-06-29 | 2018-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-29 | 2018-08-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-06-29 | 2018-08-10 | N |
| 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 |
