Deficiency Records for Van Duyn Center For Rehabilitation and Nursing
Updated as of September 01, 2020
This is not the most recent data for Van Duyn Center For Rehabilitation and Nursing. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 | 2019-02-25 | 2019-03-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-02-25 | 2019-03-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-05 | 2018-11-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-10-05 | 2018-11-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-08 | 2018-07-06 | Y |
| 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 |
| 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 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-30 | 2018-05-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-30 | 2018-05-25 | Y |
| Keep all essential equipment working safely. | Health | 2018-03-30 | 2018-05-25 | Y |
| 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 |
| Ensure that residents are free from significant medication errors. | Health | 2018-02-09 | 2018-04-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2017-12-19 | 2018-02-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-19 | 2018-02-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-19 | 2018-02-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-19 | 2018-02-06 | Y |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-01-19 | 2017-03-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-01-19 | 2017-03-19 | N |
| Provide timely notification to the resident before transfer or discharge. | Health | 2017-01-19 | 2017-03-05 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-01-19 | 2017-03-05 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-01-19 | 2017-03-05 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-01-19 | 2017-03-05 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-01-19 | 2017-03-05 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-19 | 2017-03-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-01-19 | 2017-03-05 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-19 | 2017-03-05 | N |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2017-01-19 | 2017-03-05 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-01-19 | 2017-03-05 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-01-19 | 2017-03-05 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-01-19 | 2017-03-05 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-01-19 | 2017-03-05 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-19 | 2017-03-05 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-01-19 | 2017-03-05 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2017-01-19 | 2017-03-05 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-01-19 | 2017-03-05 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-01-19 | 2017-03-05 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-01-19 | 2017-03-05 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-01-19 | 2017-03-05 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-01-19 | 2017-03-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-19 | 2017-03-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-19 | 2017-03-05 | N |
