Deficiency Records for Denison Nursing and Rehab
Updated as of August 01, 2022
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? |
|---|---|---|---|---|
| Perform COVID19 testing on residents and staff. | Health | 2022-02-16 | 2022-02-23 | 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 | 2021-12-15 | 2022-01-18 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-15 | 2022-01-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-15 | 2022-01-18 | Y |
| Implement a program that monitors antibiotic use. | Health | 2021-12-15 | 2022-01-18 | Y |
| Provide large enough exits. | Fire Safety | 2021-12-14 | 2022-01-18 | 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 | 2021-12-14 | 2022-01-18 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2021-12-14 | 2022-01-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-15 | 2021-12-18 | Y |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-12-15 | 2021-12-16 | Y |
| 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 |
| 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 |
| 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 |
