A list of the most recent deficiencies for Dunbar Health and Rehab Center. 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-08-22 | 2023-09-02 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-08-22 | 2023-09-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-02 | 2023-09-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-17 | 2023-09-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-01 | 2022-11-02 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-01 | 2022-11-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-01 | 2022-11-02 | 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 | 2022-09-01 | 2022-11-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-01 | 2022-11-02 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-09-01 | 2022-11-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-30 | 2022-11-02 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-08-30 | 2022-11-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-30 | 2022-11-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-30 | 2022-11-02 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-08-30 | 2022-11-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-30 | 2022-11-02 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-12-09 | 2021-12-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-16 | 2021-09-10 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2019-09-26 | 2020-03-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-09-26 | 2019-10-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-26 | 2019-10-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-26 | 2019-10-10 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-09-26 | 2019-10-10 | 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 | 2019-09-26 | 2019-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-26 | 2019-10-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-26 | 2019-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-26 | 2019-10-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-16 | 2018-11-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-16 | 2018-11-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-14 | 2018-11-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-08-14 | 2018-11-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-08-16 | 2018-11-07 | 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 | 2018-08-16 | 2018-11-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-14 | 2018-11-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-08-14 | 2018-11-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-14 | 2018-11-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-14 | 2018-11-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-14 | 2018-11-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-14 | 2018-11-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-14 | 2018-11-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-14 | 2018-09-17 | N |
