A list of the most recent deficiencies for Daybreak Nursing Center. 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? |
---|---|---|---|---|
The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-05-19 | 2023-07-02 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-05-19 | 2023-07-02 | N |
Assess the resident when there is a significant change in condition | Health | 2023-05-19 | 2023-07-02 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-19 | 2023-07-02 | N |
Dispose of garbage and refuse properly. | Health | 2023-05-19 | 2023-07-02 | 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 | 2023-05-19 | 2023-07-02 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-19 | 2023-07-02 | N |
Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2020-10-09 | 2020-11-22 | N |
Ensure each resident receives an accurate assessment. | Health | 2020-10-09 | 2020-11-22 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-09 | 2020-11-22 | 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 | 2020-10-09 | 2020-11-22 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-10-09 | 2020-11-22 | 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 | 2020-10-09 | 2020-11-22 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-10-09 | 2020-11-22 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-09 | 2020-11-22 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-06 | 2019-07-20 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-06-06 | 2019-07-20 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-06-06 | 2019-07-20 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-06 | 2019-07-20 | 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 | 2019-06-06 | 2019-07-20 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-06 | 2019-07-20 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2019-06-06 | 2019-07-20 | N |
Provide and implement an infection prevention and control program. | Health | 2019-06-06 | 2019-07-20 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-06 | 2019-07-20 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-06-06 | 2019-07-20 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2019-06-06 | 2019-07-20 | N |
Create arrangements with other facilities to receive patients. | Fire Safety | 2019-06-06 | 2019-07-20 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-06-06 | 2019-07-20 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-06-06 | 2019-07-20 | N |
Install proper backup exit lighting. | Fire Safety | 2019-06-06 | 2019-07-20 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-06-06 | 2019-07-20 | N |
Have an externally vented heating system. | Fire Safety | 2019-06-06 | 2019-07-20 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-06-06 | 2019-07-20 | N |