Deficiency Records for Delmar Gardens North
Updated as of September 01, 2018
This is not the most recent data for Delmar Gardens North. For the most recent information, click here.
A list of the most recent deficiencies for Delmar Gardens North. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-21 | 2018-04-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-03-21 | 2018-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-21 | 2018-04-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-21 | 2018-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-21 | 2018-04-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-21 | 2018-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-21 | 2018-04-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-21 | 2018-04-30 | N |
| Provide activities to meet all resident's needs. | Health | 2018-03-21 | 2018-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-21 | 2018-04-30 | 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 | 2018-03-21 | 2018-04-30 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-03-21 | 2018-04-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-03-21 | 2018-04-30 | 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 | 2018-03-21 | 2018-04-30 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-03-21 | 2018-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-21 | 2018-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-21 | 2018-04-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-03-21 | 2018-04-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-21 | 2018-04-30 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-02-17 | 2017-03-29 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-02-17 | 2017-03-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-02-17 | 2017-03-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-02-17 | 2017-03-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-02-17 | 2017-03-29 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-02-17 | 2017-03-29 | N |
| 1) Protect current or future residents from giving up their Medicaid or Medicare benefits; or 2) follow federal rules for admissions. | Health | 2017-02-17 | 2017-03-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-02-17 | 2017-03-29 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-17 | 2017-03-29 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-02-17 | 2017-03-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-17 | 2017-03-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-17 | 2017-03-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-02-17 | 2017-03-29 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-17 | 2017-03-29 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-17 | 2017-03-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-28 | 2016-10-28 | Y |
| Approved construction type or materials. | Fire Safety | 2015-11-24 | 2016-01-07 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-11-24 | 2016-01-07 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-11-24 | 2016-01-07 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-11-24 | 2016-01-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-11-24 | 2016-01-07 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-11-24 | 2016-01-07 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-11-24 | 2016-01-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-11-24 | 2016-01-07 | N |
