A list of the most recent deficiencies for Dove Healthcare - Superior. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-26 | 2023-10-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-26 | 2023-10-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-23 | 2023-09-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-23 | 2023-09-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-11 | 2023-05-09 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-04-11 | 2023-05-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-11 | 2023-05-09 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-04-11 | 2023-05-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-01 | 2022-12-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-01 | 2022-12-30 | N |
| Provide activities to meet all resident's needs. | Health | 2022-12-01 | 2022-12-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-01 | 2022-12-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-01 | 2022-12-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-01 | 2022-12-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-01 | 2022-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-01 | 2022-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-01 | 2022-12-30 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-12-01 | 2022-12-30 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-29 | 2022-12-30 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-11-29 | 2022-12-30 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-11-29 | 2022-12-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-29 | 2022-12-30 | 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 | 2021-09-16 | 2022-07-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-22 | 2021-12-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-09 | 2021-11-24 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-09-16 | 2021-10-31 | 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 | 2021-09-16 | 2021-10-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-16 | 2021-10-31 | N |
| Respond appropriately to all alleged violations. | Health | 2021-09-16 | 2021-10-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-16 | 2021-10-31 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-09-16 | 2021-10-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-09-16 | 2021-10-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-16 | 2021-10-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-16 | 2021-10-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-16 | 2021-10-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-16 | 2021-10-31 | 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 | 2021-09-16 | 2021-10-31 | 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 | 2021-09-16 | 2021-10-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-09-16 | 2021-10-31 | 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 | 2021-09-16 | 2021-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-16 | 2021-10-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-16 | 2021-10-31 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-09-16 | 2021-10-31 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-09-16 | 2021-10-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-16 | 2021-10-31 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-09-16 | 2021-10-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-16 | 2021-10-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-16 | 2021-10-31 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-09-16 | 2021-10-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-09-16 | 2021-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-16 | 2021-10-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-16 | 2021-10-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-30 | 2021-09-09 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-12 | 2020-02-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-17 | 2020-02-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-17 | 2020-02-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-17 | 2020-02-01 | 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 | 2024-01-23 | Not Fixed | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-03 | Not Fixed | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-01-03 | Not Fixed | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-03 | Not Fixed | Y |
| 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 | 2024-01-03 | Not Fixed | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-03 | Not Fixed | Y |
