Deficiency Records for Darway Healthcare and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Darway Healthcare 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-10 | 2023-04-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-10 | 2023-04-19 | 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 | 2023-03-10 | 2023-04-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-10 | 2023-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-10 | 2023-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-10 | 2023-04-19 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-28 | 2023-04-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-28 | 2023-04-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-28 | 2023-04-19 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-09-21 | 2022-11-02 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-09-21 | 2022-11-02 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-31 | 2022-04-30 | 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 | 2022-03-31 | 2022-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-31 | 2022-04-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-31 | 2022-04-30 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-03-21 | 2022-04-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-03-21 | 2022-04-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-21 | 2022-04-15 | 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 | 2022-03-21 | 2022-04-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-21 | 2022-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-21 | 2022-04-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-03-21 | 2022-04-15 | 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 | 2022-03-21 | 2022-04-15 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-03-21 | 2022-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-21 | 2022-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-21 | 2022-04-15 | N |
| Use approved construction type or materials. | Fire Safety | 2021-03-22 | 2021-04-15 | 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 | 2021-03-22 | 2021-04-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-22 | 2021-04-15 | 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 | 2021-03-12 | 2021-04-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-03-12 | 2021-04-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-12 | 2021-04-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-03-12 | 2021-04-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-12 | 2021-04-14 | N |
| Post nurse staffing information every day. | Health | 2021-03-12 | 2021-04-14 | 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 | 2021-03-12 | 2021-04-14 | N |
| Provide or obtain dental services for each resident. | Health | 2021-03-12 | 2021-04-14 | N |
