Deficiency Records for Denison Nursing and Rehab
Updated as of September 01, 2021
This is not the most recent data for Denison Nursing and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Denison Nursing and Rehab. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-01-23 | 2021-03-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-01-23 | 2021-03-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-03 | 2020-10-03 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2020-09-03 | 2020-10-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-09-03 | 2020-10-03 | Y |
| 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 | 2020-09-03 | 2020-10-03 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-09-02 | 2020-10-02 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-01-24 | 2020-01-27 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-01-24 | 2020-01-27 | Y |
| 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 | 2020-01-24 | 2020-01-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-24 | 2020-01-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-01-24 | 2020-01-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-07-25 | 2019-09-06 | Y |
| 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 | 2019-03-27 | 2019-04-24 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2019-03-27 | 2019-04-11 | 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 | 2019-03-27 | 2019-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-27 | 2019-04-11 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-03-27 | 2019-03-28 | 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 | 2019-03-27 | 2019-03-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-03-15 | 2018-04-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-03-15 | 2018-04-29 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-03-15 | 2018-04-29 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-03-15 | 2018-04-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-03-15 | 2018-04-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-03-15 | 2018-04-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-15 | 2018-04-29 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-03-15 | 2018-04-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-03-15 | 2018-04-15 | 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 | 2018-03-15 | 2018-04-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-03-15 | 2018-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-15 | 2018-04-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-03-15 | 2018-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-15 | 2018-04-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-15 | 2018-04-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-15 | 2018-04-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-03-15 | 2018-04-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-03-15 | 2018-04-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-03-15 | 2018-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-15 | 2018-04-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-09-02 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-27 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-03-15 | Not Fixed | N |
