Deficiency Records for Dundee Manor, LLC
Updated as of March 01, 2020
This is not the most recent data for Dundee Manor, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Dundee Manor, LLC. 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 and implement an infection prevention and control program. | Health | 2019-09-19 | 2019-12-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-09-19 | 2019-10-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-19 | 2019-10-21 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-09-19 | 2019-10-21 | N |
| Keep all essential equipment working safely. | Health | 2019-09-19 | 2019-10-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-07-10 | 2018-08-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-13 | 2018-08-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-07-13 | 2018-08-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-13 | 2018-08-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-13 | 2018-08-27 | 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 | 2018-07-13 | 2018-08-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-13 | 2018-08-27 | N |
| Provide activities to meet all resident's needs. | Health | 2018-07-13 | 2018-08-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-13 | 2018-08-27 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2018-07-13 | 2018-08-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-13 | 2018-08-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-12-13 | 2018-04-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-12-13 | 2018-04-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-13 | 2018-04-05 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2017-12-13 | 2018-01-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2017-12-13 | 2018-01-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2017-12-13 | 2018-01-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-13 | 2018-01-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2017-12-13 | 2018-01-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-13 | 2018-01-18 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2017-12-13 | 2018-01-18 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2017-12-13 | 2018-01-18 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-23 | 2017-04-23 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-03-23 | 2017-04-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-03-23 | 2017-04-23 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-03-23 | 2017-04-23 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-23 | 2017-04-23 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-03-23 | 2017-04-23 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-23 | 2017-04-23 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-23 | 2017-04-23 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-03-23 | 2017-04-23 | 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 | 2017-03-23 | 2017-04-23 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2017-03-23 | 2017-04-23 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-23 | 2017-04-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-21 | 2017-03-22 | N |
