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Deficiency Records for Delmar Gardens North
View the most recent health deficiencies and inspection results for Delmar Gardens North. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Delmar Gardens North. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-11-17 | 2026-01-13 | 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 | 2025-11-17 | 2026-01-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-11-17 | 2026-01-01 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-11-17 | 2026-01-01 | 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 | 2025-11-17 | 2026-01-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-17 | 2026-01-01 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-11-17 | 2026-01-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-11-17 | 2026-01-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-11-17 | 2026-01-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2025-11-17 | 2026-01-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-11-17 | 2026-01-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-11-17 | 2026-01-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-11-17 | 2026-01-01 | 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 | 2025-11-17 | 2026-01-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-17 | 2026-01-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-11-17 | 2026-01-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-11-17 | 2026-01-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-10 | 2025-03-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-12-26 | 2024-12-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-26 | 2024-08-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-26 | 2024-08-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-26 | 2024-08-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-06 | 2023-12-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-10-06 | 2023-12-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-06 | 2023-12-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2023-12-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-02 | 2023-12-05 | Y |
| 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 | 2023-10-06 | 2023-11-15 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-10-06 | 2023-11-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-06 | 2023-11-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-10-06 | 2023-11-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-06 | 2023-11-15 | 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 | 2023-10-06 | 2023-11-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-06 | 2023-11-15 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-10-06 | 2023-11-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-06 | 2023-11-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-06 | 2023-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-06 | 2023-11-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-06 | 2023-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-06 | 2023-11-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-01-08 | 2020-02-21 | 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 | 2020-01-08 | 2020-02-21 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-01-08 | 2020-02-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-08 | 2020-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-08 | 2020-02-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-08 | 2020-02-21 | 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 | 2020-01-08 | 2020-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-08 | 2020-02-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-08 | 2020-02-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-08 | 2020-02-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-08 | 2020-02-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-08 | 2020-02-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-01-08 | 2020-02-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-08 | 2020-02-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-01-08 | 2020-02-21 | 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 | 2020-01-08 | 2020-02-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-08 | 2020-02-21 | N |