A list of the most recent deficiencies for Delmar Gardens South. 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 | 2023-08-10 | 2023-08-30 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-14 | 2023-08-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-14 | 2023-08-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-14 | 2023-08-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-14 | 2023-08-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-14 | 2023-08-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-08 | 2023-07-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-02 | 2023-03-09 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-24 | 2019-12-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-24 | 2019-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-24 | 2019-12-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-24 | 2019-12-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-24 | 2019-12-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-24 | 2019-12-06 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-10-24 | 2019-12-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-09 | 2019-02-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-01-09 | 2019-02-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-09 | 2019-02-22 | 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 | 2019-01-09 | 2019-02-22 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-01-09 | 2019-02-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-09 | 2019-02-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-01-09 | 2019-02-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-09 | 2019-02-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-09 | 2019-02-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-09 | 2019-02-22 | 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 | 2019-01-09 | 2019-02-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-09 | 2019-02-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-09 | 2019-02-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-09 | 2019-02-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-09 | 2019-02-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-01-09 | 2019-02-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-01-09 | 2019-02-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-09 | 2019-02-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-09 | 2019-02-22 | N |
