Deficiency Records for Delhaven Manor
Updated as of August 01, 2016
This is not the most recent data for Delhaven Manor. For the most recent information, click here.
A list of the most recent deficiencies for Delhaven Manor. 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? |
|---|---|---|---|---|
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-11-19 | 2016-01-03 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-11-19 | 2016-01-03 | N |
| Proper backup exit lighting. | Fire Safety | 2015-11-19 | 2016-01-03 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-11-19 | 2016-01-03 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2015-11-19 | 2016-01-03 | N |
| Completely assess the resident at least every twelve months. | Health | 2015-11-19 | 2016-01-03 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2015-11-19 | 2016-01-03 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-11-19 | 2016-01-03 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-11-19 | 2016-01-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-11-19 | 2016-01-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-03-17 | 2015-04-30 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-03-17 | 2015-04-30 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-09-18 | 2014-11-07 | N |
| Approved construction type or materials. | Fire Safety | 2014-09-18 | 2014-11-01 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-09-18 | 2014-11-01 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2014-09-18 | 2014-11-01 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-09-18 | 2014-11-01 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-09-18 | 2014-11-01 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-09-18 | 2014-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-09-18 | 2014-11-01 | Y |
| Approved construction type or materials. | Fire Safety | 2013-08-15 | 2013-09-27 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-08-15 | 2013-09-27 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2013-08-15 | 2013-09-27 | N |
| Properly maintained smoke detectors. | Fire Safety | 2013-08-15 | 2013-09-27 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-08-15 | 2013-09-27 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2013-08-15 | 2013-09-27 | N |
| Properly protected cooking facilities. | Fire Safety | 2013-08-15 | 2013-09-27 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-08-15 | 2013-09-27 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2013-08-15 | 2013-09-27 | N |
| Completely assess the resident at least every twelve months. | Health | 2013-08-15 | 2013-09-27 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-08-15 | 2013-09-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2013-08-15 | 2013-09-27 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2013-08-15 | 2013-09-27 | 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 | 2013-08-15 | 2013-09-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-08-15 | 2013-09-27 | N |
| Keep all essential equipment working safely. | Health | 2013-08-15 | 2013-09-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2013-08-15 | 2013-09-27 | N |
