Deficiency Records for Dunklau Gardens
Updated as of February 01, 2021
This is not the most recent data for Dunklau Gardens. For the most recent information, click here.
A list of the most recent deficiencies for Dunklau Gardens. 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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-08-27 | 2020-10-09 | 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 | 2020-08-27 | 2020-10-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-08-27 | 2020-10-09 | 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 | 2020-08-27 | 2020-10-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-16 | 2020-08-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-20 | 2019-02-15 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-12-20 | 2019-02-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-20 | 2019-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-20 | 2019-02-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-20 | 2019-02-15 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-10-30 | 2017-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-30 | 2017-12-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-30 | 2017-12-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-30 | 2017-12-15 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-10-30 | 2017-12-15 | 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 | 2017-10-19 | 2017-11-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-10-19 | 2017-11-22 | 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 | 2017-10-19 | 2017-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-19 | 2017-11-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-19 | 2017-11-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-10-19 | 2017-11-22 | N |
