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Deficiency Records for Delavan Health Services
View the most recent health deficiencies and inspection results for Delavan Health Services. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Delavan Health Services. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-19 | 2025-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-19 | 2025-01-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-12-19 | 2025-01-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-19 | 2025-01-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-12-19 | 2025-01-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-19 | 2025-01-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-19 | 2025-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-19 | 2025-01-17 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2024-12-19 | 2025-01-17 | N |
| Respond appropriately to all alleged violations. | Health | 2024-08-19 | 2024-09-11 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-27 | 2023-10-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-27 | 2023-10-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-27 | 2023-10-26 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-09-27 | 2023-10-25 | 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 | 2023-09-27 | 2023-10-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-09-27 | 2023-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-27 | 2023-10-25 | 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 | 2023-09-27 | 2023-10-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-27 | 2023-10-25 | 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 | 2023-09-27 | 2023-10-25 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2023-09-27 | 2023-10-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-27 | 2023-10-25 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-09-27 | 2023-10-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-27 | 2023-10-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-09-27 | 2023-10-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-27 | 2023-10-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-27 | 2023-10-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-09-27 | 2023-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-27 | 2023-10-25 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-09-27 | 2023-10-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-27 | 2023-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-15 | 2022-07-13 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2022-06-15 | 2022-07-13 | 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 | 2022-06-15 | 2022-07-13 | 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 | 2022-06-15 | 2022-07-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-15 | 2022-07-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-15 | 2022-07-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-15 | 2022-07-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-15 | 2022-07-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-15 | 2022-07-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-06-15 | 2022-07-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-06-15 | 2022-07-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-15 | 2022-07-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-15 | 2022-07-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-06-15 | 2022-07-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-15 | 2022-07-13 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-06-15 | 2022-07-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-06-15 | 2022-07-13 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2022-06-15 | 2022-07-13 | N |