Deficiency Records for Davis Health and Wellness Ctr at Cambridge Villag
Updated as of April 01, 2024
A list of the most recent deficiencies for Davis Health and Wellness Ctr at Cambridge Villag. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-30 | 2024-01-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-30 | 2024-01-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-30 | 2024-01-05 | Y |
| 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 | 2023-11-30 | 2024-01-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-11-30 | 2024-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2024-01-03 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-07-27 | 2022-08-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-07-27 | 2022-08-19 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-07-27 | 2022-08-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-27 | 2022-08-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-27 | 2022-08-19 | 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 | 2022-07-27 | 2022-08-19 | N |
| Provide activities to meet all resident's needs. | Health | 2022-07-27 | 2022-08-19 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-07-27 | 2022-08-19 | 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 | 2022-07-27 | 2022-08-19 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-07-27 | 2022-08-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-07-27 | 2022-08-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-26 | 2021-04-01 | N |
| Post nurse staffing information every day. | Health | 2021-03-26 | 2021-04-01 | 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 | 2021-03-26 | 2021-04-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-26 | 2021-04-01 | N |
