Deficiency Records for Delhi Post-Acute
Updated as of March 01, 2019
This is not the most recent data for Delhi Post-Acute. For the most recent information, click here.
A list of the most recent deficiencies for Delhi Post-Acute. 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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-01-16 | 2019-02-28 | 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 | 2019-01-16 | 2019-02-28 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2018-04-17 | 2018-05-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-17 | 2018-05-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-08 | 2018-05-15 | 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 | 2018-03-08 | 2018-05-15 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-01-12 | 2018-02-28 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-01-12 | 2018-02-28 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-01-12 | 2018-02-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-01-12 | 2018-02-28 | 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 | 2018-01-12 | 2018-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-12 | 2018-02-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-12 | 2018-02-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-01-12 | 2018-02-28 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2018-01-12 | 2018-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-12 | 2018-02-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-12 | 2018-02-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-11 | 2018-02-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-01-11 | 2018-02-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-01-11 | 2018-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-11 | 2018-02-28 | 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 | 2018-01-11 | 2018-02-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-01-11 | 2018-02-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-01-11 | 2018-02-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-11 | 2018-02-28 | 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 | 2018-01-11 | 2018-02-28 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-01-11 | 2018-02-28 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-01-11 | 2018-02-28 | N |
| Provide or obtain dental services for each resident. | Health | 2018-01-11 | 2018-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-11 | 2018-02-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-15 | 2017-06-01 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-27 | 2017-02-28 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-01-27 | 2017-02-28 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-01-27 | 2017-02-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-01-27 | 2017-02-28 | Y |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe | Health | 2017-01-27 | 2017-02-28 | Y |
| Use approved construction type or materials. | Fire Safety | 2016-11-07 | 2016-12-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2016-11-07 | 2016-12-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-11-03 | 2016-12-12 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-03 | 2016-12-12 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-11-03 | 2016-12-12 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-11-03 | 2016-12-12 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2016-11-03 | 2016-12-12 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-08-31 | 2015-10-01 | N |
| Properly constructed linen or trash chutes. | Fire Safety | 2015-08-31 | 2015-10-01 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2015-08-31 | 2015-10-01 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-08-31 | 2015-10-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-08-13 | 2015-10-01 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-08-13 | 2015-10-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-08-13 | 2015-10-01 | N |
