Deficiency Records for The Dawn Hill Home For Rehab and Healthcare
Updated as of March 01, 2024
A list of the most recent deficiencies for The Dawn Hill Home For Rehab and Healthcare. 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-22 | 2024-02-13 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-01-22 | 2024-02-13 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-01-22 | 2024-02-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-22 | 2024-02-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-22 | 2024-02-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-22 | 2024-02-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-19 | 2024-02-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-19 | 2024-02-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-01-19 | 2024-02-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-19 | 2024-02-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-19 | 2024-02-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-19 | 2024-02-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-19 | 2024-02-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-27 | 2024-01-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-08 | 2023-09-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-18 | 2023-05-04 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-04-18 | 2023-05-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-03 | 2023-04-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-10 | 2023-03-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-06 | 2022-12-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-06 | 2022-12-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-17 | 2022-12-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-17 | 2022-12-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-19 | 2022-11-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-19 | 2022-10-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-19 | 2022-10-19 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-09-19 | 2022-10-19 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-09-19 | 2022-10-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-20 | 2022-08-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-12 | 2022-05-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-15 | 2022-03-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-15 | 2022-03-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-07 | 2021-12-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-07 | 2021-12-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-12-07 | 2021-12-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-07 | 2021-12-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-07 | 2021-12-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-26 | 2021-11-08 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2021-09-28 | 2021-10-18 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-09-28 | 2021-10-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-28 | 2021-10-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-13 | 2021-09-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-13 | 2021-09-03 | 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 | 2021-08-13 | 2021-09-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-13 | 2021-09-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-08-13 | 2021-09-03 | 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 | 2021-08-13 | 2021-09-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-13 | 2021-09-03 | 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 | 2021-08-13 | 2021-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-13 | 2021-09-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-13 | 2021-09-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-08 | 2021-08-02 | 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 | 2021-06-24 | 2021-07-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-02 | 2021-07-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-02 | 2021-07-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-06 | 2021-05-22 | Y |
