A list of the most recent deficiencies for Dells Nursing and Rehab Center Inc. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-08-31 | 2023-10-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-08-31 | 2023-10-15 | 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 | 2023-08-31 | 2023-10-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-31 | 2023-10-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-31 | 2023-10-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-31 | 2023-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-31 | 2023-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-01 | 2023-04-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-07 | 2022-02-26 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-01-07 | 2022-02-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-04 | 2021-11-04 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-11-04 | 2021-11-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-11-04 | 2021-11-04 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-11-04 | 2021-11-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-04 | 2021-11-04 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-11-04 | 2021-11-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-04 | 2021-11-04 | N |
| Respond appropriately to all alleged violations. | Health | 2021-11-04 | 2021-11-04 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-11-04 | 2021-11-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-04 | 2021-11-04 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2021-11-04 | 2021-11-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-04 | 2021-11-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-04 | 2021-11-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-04 | 2021-11-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-04 | 2021-11-04 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-11-04 | 2021-11-04 | 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 | 2021-11-04 | 2021-11-04 | N |
| 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 | 2021-11-04 | 2021-11-04 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-11-04 | 2021-11-04 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-11-04 | 2021-11-04 | 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 | 2021-11-04 | 2021-11-04 | 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 | 2021-11-04 | 2021-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-04 | 2021-11-04 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-11-04 | 2021-11-04 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2021-11-04 | 2021-11-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-11-04 | 2021-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-04 | 2021-11-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-11-04 | 2021-11-04 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-11-04 | 2021-11-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-11-04 | 2021-11-04 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-04 | 2021-11-04 | N |
| Ensure that paid feeding assistants have the training they need. | Health | 2021-11-04 | 2021-11-04 | N |
