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? |
---|---|---|---|---|
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 |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-02 | 2019-10-10 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-07-02 | 2019-10-10 | N |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-07-02 | 2019-10-10 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-02 | 2019-10-10 | 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 | 2019-07-02 | 2019-10-10 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-02 | 2019-10-10 | 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 | 2019-07-02 | 2019-10-10 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-02 | 2019-10-10 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-07-02 | 2019-10-10 | N |
Provide and implement an infection prevention and control program. | Health | 2019-07-02 | 2019-10-10 | 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 | 2019-07-02 | 2019-09-18 | 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 | 2019-07-02 | 2019-09-17 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-02 | 2019-08-21 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-07-02 | 2019-08-21 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-02 | 2019-08-21 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-02 | 2019-08-21 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-02 | 2019-08-21 | N |
Respond appropriately to all alleged violations. | Health | 2019-07-02 | 2019-08-21 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-07-02 | 2019-08-21 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-02 | 2019-08-21 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-07-02 | 2019-08-21 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-07-02 | 2019-08-21 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-02 | 2019-08-21 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-02 | 2019-08-21 | 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 | 2019-07-02 | 2019-08-21 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-02 | 2019-08-21 | N |
Provide activities to meet all resident's needs. | Health | 2019-07-02 | 2019-08-21 | N |
Provide appropriate foot care. | Health | 2019-07-02 | 2019-08-21 | 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 | 2019-07-02 | 2019-08-21 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-02 | 2019-08-21 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-02 | 2019-08-21 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-07-02 | 2019-08-21 | 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 | 2019-07-02 | 2019-08-21 | N |
Provide or obtain dental services for each resident. | Health | 2019-07-02 | 2019-08-21 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-07-02 | 2019-08-21 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-07-02 | 2019-08-21 | N |
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-07-02 | 2019-08-21 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-02 | 2019-08-21 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-26 | Not Fixed | N |