Most Recent Deficiencies for Van Duyn Center For Rehabilitation and Nursing

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Updated as of July 01, 2022

A list of the most recent deficiencies for Van Duyn Center For Rehabilitation and Nursing. 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?
Provide enough food/fluids to maintain a resident's health. Health 2021-10-19 2021-11-30 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-10-19 2021-11-30 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-06-21 2021-10-14 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-06-21 2021-10-14 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-08-13 2021-10-06 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-08-13 2021-10-06 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2021-06-21 2021-08-11 N
Respond appropriately to all alleged violations. Health 2021-06-21 2021-08-11 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-06-21 2021-08-11 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 2021-06-21 2021-08-11 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 2021-06-21 2021-08-11 N
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2021-06-21 2021-08-11 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 2021-06-21 2021-08-11 N
Provide and implement an infection prevention and control program. Health 2021-06-21 2021-08-11 N
Keep all essential equipment working safely. Health 2021-06-21 2021-08-11 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 2021-06-21 2021-08-11 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2021-06-21 2021-08-11 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-06-21 2021-08-11 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-06-21 2021-08-11 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-06-21 2021-08-11 Y
Provide enough food/fluids to maintain a resident's health. Health 2021-06-21 2021-08-11 Y
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Health 2021-06-21 2021-08-11 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2021-06-21 2021-08-11 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-06-18 2021-08-11 N
Have an enclosure around a vertical opening shaft. Fire Safety 2021-06-18 2021-08-11 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 2021-06-18 2021-08-11 N
Install an approved automatic sprinkler system. Fire Safety 2021-06-18 2021-08-11 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-06-18 2021-08-11 N
Install properly constructed windows in hallway walls or doors. Fire Safety 2021-06-18 2021-08-11 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-06-18 2021-08-11 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-06-18 2021-08-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-11 2021-07-08 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-01-05 2021-02-26 Y
Provide enough food/fluids to maintain a resident's health. Health 2021-01-05 2021-02-26 Y
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2020-12-23 2021-02-03 N
Report COVID19 data to residents and families. Health 2020-12-23 2021-02-03 N
Perform COVID19 testing on residents and staff. Health 2020-12-23 2021-02-03 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 2020-12-09 2021-01-29 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 2020-11-19 2021-01-08 Y
Ensure that residents are free from significant medication errors. Health 2020-11-19 2021-01-08 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2020-10-30 2020-12-18 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-10-30 2020-12-18 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-10-30 2020-12-18 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-10-30 2020-12-18 Y
Provide and implement an infection prevention and control program. Health 2020-10-26 2020-12-09 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2020-02-18 2020-04-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-02-18 2020-04-10 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2020-02-18 2020-04-10 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-10-04 2019-11-22 Y
Respond appropriately to all alleged violations. Health 2019-08-27 2019-10-09 Y
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2019-08-27 2019-10-09 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-07-24 2019-09-20 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 2019-07-24 2019-09-20 N
Provide properly protected cooking facilities. Fire Safety 2019-07-24 2019-09-20 N
Install an approved automatic sprinkler system. Fire Safety 2019-07-24 2019-09-20 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-07-24 2019-09-20 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-07-24 2019-09-20 N
Ensure gas and vacuum piping is labeled. Fire Safety 2019-07-24 2019-09-20 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-07-24 2019-09-20 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2019-07-24 2019-09-20 N
Have proper medical gas storage and administration areas. Fire Safety 2019-07-24 2019-09-20 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-07-25 2019-09-13 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 2019-07-25 2019-09-13 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-07-25 2019-09-13 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-07-25 2019-09-13 N
Observe each nurse aide's job performance and give regular training. Health 2019-07-25 2019-09-13 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 2019-07-25 2019-09-13 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2019-07-25 2019-09-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-03-30 2018-05-25 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-03-30 2018-05-25 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-03-30 2018-05-25 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 2018-03-30 2018-05-25 N
Keep all essential equipment working safely. Health 2018-03-30 2018-05-25 N
Install an approved automatic sprinkler system. Fire Safety 2018-03-23 2018-05-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-03-23 2018-05-21 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-03-23 2018-05-21 N
Install properly constructed windows in hallway walls or doors. Fire Safety 2018-03-23 2018-05-21 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2018-03-23 2018-04-20 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 2018-03-23 2018-04-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2018-03-23 2018-04-13 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2018-03-23 2018-04-10 N