Deficiency Records for Van Duyn Center For Rehabilitation and Nursing
Updated as of March 01, 2024
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? |
|---|---|---|---|---|
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-10-26 | 2023-11-29 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-13 | 2023-09-14 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-09-13 | 2023-09-14 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-07-28 | 2023-08-30 | N |
| 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 | 2023-07-28 | 2023-08-30 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-07-28 | 2023-08-30 | 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 | 2023-07-28 | 2023-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-28 | 2023-08-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-28 | 2023-08-30 | Y |
| 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 | 2023-07-28 | 2023-08-30 | Y |
| 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 | 2023-07-28 | 2023-08-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-28 | 2023-08-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-28 | 2023-08-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-28 | 2023-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-28 | 2023-08-30 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-07-28 | 2023-08-30 | Y |
| Keep all essential equipment working safely. | Health | 2023-07-28 | 2023-08-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-28 | 2023-08-30 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-28 | 2023-08-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-07-28 | 2023-08-30 | 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 | 2023-07-28 | 2023-08-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-28 | 2023-08-30 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-07-28 | 2023-08-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-25 | 2023-02-28 | 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 | 2022-11-03 | 2022-12-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-22 | 2022-09-14 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-22 | 2022-09-14 | Y |
| 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 |
| 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 |
