Deficiency Records for The Dalles Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for The Dalles Health and Rehabilitation 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? |
|---|---|---|---|---|
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-10-05 | 2023-11-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-05 | 2023-11-10 | 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 | 2023-10-05 | 2023-11-10 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-10-05 | 2023-11-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-05 | 2023-11-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-05 | 2023-11-10 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-12 | 2023-11-10 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-07-15 | 2022-08-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-15 | 2022-08-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-15 | 2022-08-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-15 | 2022-08-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-07-15 | 2022-08-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-15 | 2022-08-24 | 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 | 2022-07-15 | 2022-08-24 | 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 | 2022-07-15 | 2022-08-24 | N |
| Provide or obtain dental services for each resident. | Health | 2022-07-15 | 2022-08-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-07-20 | 2022-08-24 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-07-20 | 2022-08-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-20 | 2022-08-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-20 | 2022-08-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-20 | 2022-08-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-20 | 2022-08-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-20 | 2022-08-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-20 | 2022-08-24 | N |
| Meet other general requirements. | Fire Safety | 2022-07-20 | 2022-08-24 | 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 | 2021-04-06 | 2021-06-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-06 | 2021-06-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-06 | 2021-06-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-06 | 2021-06-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-15 | 2021-05-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-15 | 2021-05-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-04-15 | 2021-05-25 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-04-15 | 2021-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-15 | 2021-05-25 | N |
