CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Delmar Center For Rehabilitation and Nursing
View the most recent health deficiencies and inspection results for Delmar Center For Rehabilitation and Nursing. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Delmar Center For Rehabilitation and Nursing. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-23 | 2025-04-15 | 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 | 2025-01-23 | 2025-04-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-01-23 | 2025-04-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-01-23 | 2025-04-15 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-23 | 2025-04-09 | 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 | 2025-01-23 | 2025-04-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-23 | 2025-04-08 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-01-23 | 2025-04-08 | 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 | 2025-01-23 | 2025-04-08 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2025-01-23 | 2025-03-21 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-01-23 | 2025-03-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-23 | 2025-03-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-23 | 2025-03-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-23 | 2025-03-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-23 | 2025-03-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-01-23 | 2025-03-21 | 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 | 2025-01-23 | 2025-03-21 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2025-01-23 | 2025-03-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-01-23 | 2025-03-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-01-23 | 2025-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-23 | 2025-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-23 | 2025-03-21 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2025-01-23 | 2025-03-21 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-01-23 | 2025-03-21 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2025-01-23 | 2025-03-19 | 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 | 2025-01-23 | 2025-03-18 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-01-23 | 2025-03-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-01-23 | 2025-03-18 | 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 | 2025-01-23 | 2025-03-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-23 | 2025-03-18 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-01-23 | 2025-03-18 | N |
| Dispose of garbage and refuse properly. | Health | 2025-01-23 | 2025-03-18 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-01-23 | 2025-03-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-23 | 2025-03-18 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-01-23 | 2025-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-23 | 2025-03-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-23 | 2025-03-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-23 | 2025-03-18 | 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 | 2025-01-23 | 2025-03-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-01-23 | 2025-03-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-01-23 | 2025-03-18 | N |
| Provide activities to meet all resident's needs. | Health | 2025-01-23 | 2025-03-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-01-23 | 2025-03-18 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2025-01-23 | 2025-03-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-23 | 2025-03-18 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-01-23 | 2025-03-18 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-01-23 | 2025-03-18 | 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 | 2025-01-23 | 2025-03-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-23 | 2024-07-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-23 | 2024-07-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-23 | 2024-07-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-23 | 2024-07-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-23 | 2024-07-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-23 | 2024-07-16 | Y |
| 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 | 2024-05-23 | 2024-07-16 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-05-23 | 2024-07-16 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-05-23 | 2024-07-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-23 | 2024-07-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2024-01-16 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2023-11-30 | 2024-01-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-30 | 2024-01-16 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-11-30 | 2024-01-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-30 | 2024-01-16 | 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 | 2023-11-30 | 2024-01-16 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-03 | 2023-03-29 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-02-03 | 2023-03-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-03 | 2023-03-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-03 | 2023-03-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-02-03 | 2023-03-21 | 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 | 2023-02-03 | 2023-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-03 | 2023-03-21 | 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 | 2023-02-03 | 2023-03-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-03 | 2023-03-21 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-02-03 | 2023-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-03 | 2023-03-21 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-02-03 | 2023-03-21 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-02-03 | 2023-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-03 | 2023-03-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-30 | 2023-01-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-30 | 2023-01-12 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2020-09-16 | 2020-10-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-09-16 | 2020-10-29 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-09-16 | 2020-10-29 | 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 | 2020-09-16 | 2020-10-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-09-16 | 2020-10-29 | 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 | 2020-09-16 | 2020-10-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-09-16 | 2020-10-29 | N |
| Provide or obtain dental services for each resident. | Health | 2020-09-16 | 2020-10-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-09-16 | 2020-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-16 | 2020-10-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-16 | 2020-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-16 | 2020-10-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-09-16 | 2020-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-16 | 2020-10-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-09-16 | 2020-10-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-16 | 2020-10-29 | 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 | 2020-09-16 | 2020-10-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-09-16 | 2020-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-16 | 2020-10-28 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2020-09-16 | 2020-10-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-09-16 | 2020-10-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-09-16 | 2020-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-23 | Not Fixed | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-15 | Not Fixed | Y |