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Deficiency Records for Dunbar Center
A list of the most recent deficiencies for Dunbar Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Dunbar 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? |
---|---|---|---|---|
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-03-20 | 2024-04-10 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-21 | 2024-04-09 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-03-21 | 2024-04-09 | N |
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 | 2024-03-21 | 2024-04-09 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-21 | 2024-04-09 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-03-21 | 2024-04-09 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-21 | 2024-04-09 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-21 | 2024-04-09 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-21 | 2024-04-09 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-21 | 2024-04-09 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2024-03-21 | 2024-04-09 | 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 | 2024-03-21 | 2024-04-09 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-03-21 | 2024-04-09 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-03-21 | 2024-04-09 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-21 | 2024-04-09 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-21 | 2024-04-09 | N |
Provide and implement an infection prevention and control program. | Health | 2024-03-21 | 2024-04-09 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-21 | 2024-04-09 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-21 | 2024-04-09 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-06 | 2023-08-07 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-06 | 2023-08-07 | Y |
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 | 2023-02-14 | 2023-03-20 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2023-02-14 | 2023-03-20 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-15 | 2023-03-14 | 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 | 2023-02-15 | 2023-03-14 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-02-15 | 2023-03-14 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-15 | 2023-03-14 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-15 | 2023-03-14 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-15 | 2023-03-14 | N |
Provide appropriate foot care. | Health | 2023-02-15 | 2023-03-14 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-15 | 2023-03-14 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-15 | 2023-03-14 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-02-15 | 2023-03-14 | 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 | 2023-02-15 | 2023-03-14 | N |
Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-02-15 | 2023-03-14 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-15 | 2023-03-14 | N |
Provide and implement an infection prevention and control program. | Health | 2023-02-15 | 2023-03-14 | N |
Implement a program that monitors antibiotic use. | Health | 2023-02-15 | 2023-03-14 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-02-15 | 2023-03-14 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-03 | 2022-08-30 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-03 | 2022-08-30 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-03 | 2022-06-15 | Y |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-03 | 2022-01-12 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-03 | 2021-12-08 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-03 | 2021-12-08 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-11-03 | 2021-12-08 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-03 | 2021-12-08 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-11-03 | 2021-12-08 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-03 | 2021-11-24 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-03 | 2021-11-24 | N |
Keep residents' personal and medical records private and confidential. | Health | 2021-11-03 | 2021-11-24 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-03 | 2021-11-24 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-11-03 | 2021-11-24 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-03 | 2021-11-24 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-11-03 | 2021-11-24 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-03 | 2021-11-24 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-03 | 2021-11-24 | N |
Post nurse staffing information every day. | Health | 2021-11-03 | 2021-11-24 | N |
Put firmly secured handrails on each side of hallways. | Health | 2021-11-03 | 2021-11-24 | N |
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