Deficiency Records for Delhaven Manor
Updated as of March 01, 2018
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? |
|---|---|---|---|---|
| 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 | 2017-09-06 | 2017-10-10 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-09-06 | 2017-10-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-09-06 | 2017-10-10 | 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 | 2017-09-06 | 2017-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-09-06 | 2017-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-06 | 2017-10-10 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-08-31 | 2017-10-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-31 | 2017-10-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-31 | 2017-10-10 | N |
| Approved construction type or materials. | Fire Safety | 2016-09-01 | 2016-10-16 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-09-01 | 2016-10-16 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2016-09-01 | 2016-10-16 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-09-01 | 2016-10-16 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-09-01 | 2016-10-16 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-09-01 | 2016-10-16 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-09-01 | 2016-10-16 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-09-01 | 2016-10-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-09-01 | 2016-10-16 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2016-09-01 | 2016-10-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-09-01 | 2016-10-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-09-01 | 2016-10-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-09-01 | 2016-10-16 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-09-01 | 2016-10-16 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-05-03 | 2016-06-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-03 | 2016-06-17 | Y |
| 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 |
