Deficiency Records for Delmar Gardens of Chesterfield
Updated as of March 01, 2020
This is not the most recent data for Delmar Gardens of Chesterfield. For the most recent information, click here.
A list of the most recent deficiencies for Delmar Gardens of Chesterfield. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-10 | 2019-07-24 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2019-02-07 | 2019-03-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-07 | 2019-03-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-07 | 2019-03-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-02-07 | 2019-03-14 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-02-07 | 2019-03-14 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-07 | 2019-03-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-07 | 2019-03-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-07 | 2019-03-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-02-07 | 2019-03-14 | 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 | 2019-02-07 | 2019-03-14 | N |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2019-02-07 | 2019-03-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-03-14 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-07-20 | 2018-09-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-07-20 | 2018-09-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-20 | 2018-09-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-07-20 | 2018-09-14 | Y |
| Install proper backup exit lighting. | Fire Safety | 2018-01-10 | 2018-02-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-01-10 | 2018-02-23 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-01-10 | 2018-02-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-10 | 2018-02-23 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-01-10 | 2018-02-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-01-10 | 2018-02-23 | 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 ne | Health | 2018-01-10 | 2018-02-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-01-10 | 2018-02-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-10 | 2018-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-10 | 2018-02-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-11-07 | 2016-12-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-11-07 | 2016-12-21 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2016-11-07 | 2016-12-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2016-11-07 | 2016-12-21 | 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 | 2016-11-07 | 2016-12-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-11-07 | 2016-12-21 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2016-11-07 | 2016-12-21 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-11-07 | 2016-12-21 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-11-07 | 2016-12-21 | N |
| Ensure laboratory services, blood blanks and transfusion services provided on site meet requirements for certified laboratories; or have an agreement to obtain services from an offsite laboratory, that meets the same requirements. | Health | 2016-11-07 | 2016-12-21 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-07 | 2016-12-21 | N |
