Deficiency Records for Denison Nursing and Rehab
Updated as of December 01, 2018
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? |
|---|---|---|---|---|
| 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 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-14 | 2017-12-15 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-09-28 | 2017-10-01 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-09-28 | 2017-10-01 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-03-15 | 2017-04-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-03-15 | 2017-04-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-03-15 | 2017-04-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-03-15 | 2017-04-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-03-15 | 2017-04-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-15 | 2017-04-15 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-03-15 | 2017-04-15 | 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 | 2017-03-15 | 2017-04-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-15 | 2017-04-15 | N |
| Dispose of garbage and refuse properly. | Health | 2017-03-15 | 2017-04-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-03-15 | 2017-04-15 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-03-15 | 2017-04-15 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-02-13 | 2017-03-04 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-02-13 | 2017-03-04 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-02-13 | 2017-03-04 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-04-27 | 2016-06-10 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-04-27 | 2016-06-10 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-04-27 | 2016-06-10 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-04-27 | 2016-05-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-03-15 | Not Fixed | N |
