Deficiency Records for Derry Center For Rehabilitation and Healthcare
Updated as of August 01, 2022
This is not the most recent data for Derry Center For Rehabilitation and Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for Derry Center For Rehabilitation and Healthcare. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-01 | 2021-12-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-11-01 | 2021-12-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-01 | 2021-12-31 | N |
| Respond appropriately to all alleged violations. | Health | 2021-11-01 | 2021-12-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-01 | 2021-12-31 | N |
| Provide activities to meet all resident's needs. | Health | 2021-11-01 | 2021-12-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-01 | 2021-12-31 | 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 | 2021-11-01 | 2021-12-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-11-01 | 2021-12-31 | 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 | 2021-11-01 | 2021-12-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-01 | 2021-12-31 | 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 | 2021-11-01 | 2021-12-31 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-11-01 | 2021-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-01 | 2021-12-31 | N |
| Report COVID19 data to residents and families. | Health | 2021-11-01 | 2021-12-31 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-01 | 2021-12-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-04 | 2021-12-29 | 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 | 2021-11-04 | 2021-12-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-04 | 2021-12-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-04 | 2021-12-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-04 | 2021-12-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-04 | 2021-12-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-04 | 2021-12-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-14 | 2021-06-29 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-03-19 | 2021-04-10 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2020-12-29 | 2021-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-29 | 2021-01-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-14 | 2020-03-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-14 | 2020-03-31 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-02-14 | 2020-03-31 | 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 | 2020-02-14 | 2020-03-31 | 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 | 2020-02-14 | 2020-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-14 | 2020-03-31 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2020-02-12 | 2020-03-17 | 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 | 2020-02-12 | 2020-03-17 | 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 | 2020-02-12 | 2020-03-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-12 | 2020-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-12 | 2020-03-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-19 | 2020-01-24 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-12-19 | 2020-01-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-19 | 2020-01-24 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2019-02-22 | 2019-03-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-02-22 | 2019-03-29 | N |
