Deficiency Records for Daviess County Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Daviess County Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-25 | 2023-10-27 | Y |
| 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 | 2022-02-16 | 2022-03-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-16 | 2022-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-16 | 2022-03-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-16 | 2022-03-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-16 | 2022-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-16 | 2022-03-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-02-16 | 2022-03-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-02-16 | 2022-03-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-16 | 2022-03-31 | 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 | 2022-02-16 | 2022-03-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-16 | 2022-03-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-02-16 | 2022-03-31 | 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 | 2022-02-16 | 2022-03-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-16 | 2022-03-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-16 | 2022-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-16 | 2022-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-16 | 2022-03-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-16 | 2022-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-16 | 2022-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-16 | 2022-03-31 | 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 | 2021-03-10 | 2021-04-06 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-12 | 2020-02-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-12 | 2020-02-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-12 | 2020-02-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-12 | 2020-02-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-12-12 | 2020-01-02 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-12-12 | 2020-01-02 | 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 | 2019-12-12 | 2020-01-02 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-01-15 | 2019-02-15 | N |
| Respond appropriately to all alleged violations. | Health | 2019-01-15 | 2019-02-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-15 | 2019-02-15 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-01-15 | 2019-02-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-15 | 2019-02-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-15 | 2019-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-15 | 2019-02-15 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-01-15 | 2019-02-15 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-01-15 | 2019-02-15 | N |
| Post nurse staffing information every day. | Health | 2019-01-15 | 2019-02-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-01-15 | 2019-02-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-15 | 2019-02-15 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-01-15 | 2019-02-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-01-15 | 2019-02-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-15 | 2019-02-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-15 | 2019-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-15 | 2019-02-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-15 | 2019-02-15 | N |
