Deficiency Records for Decatur Wellness and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Decatur Wellness 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-17 | 2024-02-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-17 | 2024-02-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-09 | 2023-11-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-30 | 2022-10-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-28 | 2022-10-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-28 | 2022-10-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-28 | 2022-10-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-12 | 2022-05-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-12 | 2022-05-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-20 | 2022-02-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-13 | 2021-11-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-25 | 2021-07-27 | 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 | 2021-06-25 | 2021-07-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-09 | 2021-06-10 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-22 | 2019-11-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-22 | 2019-11-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-09-22 | 2019-11-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-24 | 2019-10-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-24 | 2019-10-14 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-11-28 | 2018-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-28 | 2018-12-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-11-28 | 2018-12-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-26 | 2018-12-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-26 | 2018-12-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-26 | 2018-12-14 | N |
