Deficiency Records for Dutchtown Care Center

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Updated as of May 01, 2024

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Deficiency Records for Dutchtown Care Center

A list of the most recent deficiencies for Dutchtown Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Dutchtown Care 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?
Honor the resident's right to manage his or her financial affairs. Health 2024-02-15 2024-03-29 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-02-15 2024-03-29 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-02-15 2024-03-29 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 2024-02-15 2024-03-29 N
Ensure the activities program is directed by a qualified professional. Health 2024-02-15 2024-03-29 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-15 2024-03-29 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2024-02-15 2024-03-29 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-02-15 2024-03-29 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-02-15 2024-03-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-15 2024-03-29 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2024-02-15 2024-03-29 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-02-15 2024-03-29 N
Develop, implement, and/or maintain an effective training program for all new and existing staff members. Health 2024-02-15 2024-03-29 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 2024-02-09 2024-03-25 N
Install proper backup exit lighting. Fire Safety 2024-02-09 2024-03-25 N
Have an enclosure around a vertical opening shaft. Fire Safety 2024-02-09 2024-03-25 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 2024-02-09 2024-03-25 N
Provide properly protected cooking facilities. Fire Safety 2024-02-09 2024-03-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-09 2024-03-25 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-02-09 2024-03-25 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-02-09 2024-03-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-02-09 2024-03-25 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-03-01 2023-03-20 Y
Hire a qualified full-time social worker in a facility with more than 120 beds. Health 2022-11-30 2023-01-31 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-12-08 2022-12-08 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2021-12-08 2022-04-30 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-12-08 2022-04-30 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 2021-12-08 2022-04-30 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2021-12-08 2022-04-30 N
Ensure staff are vaccinated for COVID-19 Health 2021-12-08 2022-04-30 N
Respond appropriately to all alleged violations. Health 2021-12-08 2022-04-30 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-12-08 2022-04-30 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-12-08 2022-04-30 Y
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2021-12-08 2022-04-30 Y
Respond appropriately to all alleged violations. Health 2022-03-16 2022-04-30 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-16 2022-04-30 Y
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2022-03-16 2022-04-30 Y
Have properly located and lighted "Exit" signs. Fire Safety 2021-12-08 2022-03-16 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 2021-12-08 2022-03-16 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-01-18 2022-03-04 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2022-01-18 2022-03-04 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-01-18 2022-03-04 Y
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. Health 2021-12-08 2022-01-22 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 2021-12-08 2022-01-22 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 2021-12-08 2022-01-22 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-12-08 2022-01-22 N
Provide activities to meet all resident's needs. Health 2021-12-08 2022-01-22 N
Ensure the activities program is directed by a qualified professional. Health 2021-12-08 2022-01-22 N
Provide appropriate foot care. Health 2021-12-08 2022-01-22 N
Post nurse staffing information every day. Health 2021-12-08 2022-01-22 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2021-12-08 2022-01-22 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-12-08 2022-01-22 N
Provide or get specialized rehabilitative services as required for a resident. Health 2021-12-08 2022-01-22 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2021-12-08 2022-01-22 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-12-08 2022-01-22 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2021-12-08 2022-01-22 N
Provide and implement an infection prevention and control program. Health 2021-12-08 2022-01-22 N
Implement a program that monitors antibiotic use. Health 2021-12-08 2022-01-22 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-12-08 2022-01-22 Y
Provide enough food/fluids to maintain a resident's health. Health 2021-12-08 2022-01-22 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-12-08 2022-01-22 Y
Ensure medication error rates are not 5 percent or greater. Health 2021-12-08 2022-01-22 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-12-08 2022-01-22 N
List the names and contact information of those in the facility. Fire Safety 2021-12-08 2022-01-22 N
Implement emergency and standby power systems. Fire Safety 2021-12-08 2022-01-22 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 2021-12-08 2022-01-22 N
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 2021-12-08 2022-01-22 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2021-12-08 2022-01-22 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2021-12-08 2022-01-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-12-08 2022-01-22 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-12-08 2022-01-22 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-12-08 2022-01-22 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-12-08 2022-01-22 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2021-12-08 2022-01-22 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-12-08 2022-01-22 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-12-08 2022-01-22 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-09-06 2019-10-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-09-06 2019-10-18 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2019-09-06 2019-10-18 N
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2019-09-06 2019-10-18 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2019-09-06 2019-10-18 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 2019-09-06 2019-10-18 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 2019-09-06 2019-10-18 N
Ensure each resident receives an accurate assessment. Health 2019-09-06 2019-10-18 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-09-06 2019-10-18 N
Provide activities to meet all resident's needs. Health 2019-09-06 2019-10-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-09-06 2019-10-18 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2019-09-06 2019-10-18 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-09-06 2019-10-18 N
Provide enough food/fluids to maintain a resident's health. Health 2019-09-06 2019-10-18 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-09-06 2019-10-18 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 2019-09-06 2019-10-18 N
Provide and implement an infection prevention and control program. Health 2019-09-06 2019-10-18 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-09-06 2019-10-18 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-06 2019-10-18 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-09-06 2019-10-18 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-09-06 2019-10-18 N

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