A list of the most recent deficiencies for Dove Healthcare - Lodi. 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 heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-25 | 2023-12-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-29 | 2023-09-25 | 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 | 2023-08-29 | 2023-09-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-29 | 2023-09-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-29 | 2023-09-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-29 | 2023-09-25 | 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 | 2023-08-29 | 2023-09-25 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-29 | 2023-09-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-29 | 2023-09-25 | Y |
| 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 | 2023-08-29 | 2023-09-25 | Y |
| 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 | 2023-08-29 | 2023-09-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-29 | 2023-09-25 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-08-25 | 2023-09-25 | 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 | 2023-08-25 | 2023-09-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-03-29 | 2023-04-21 | Y |
| 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 | 2023-03-29 | 2023-04-21 | Y |
| 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 | 2023-03-29 | 2023-04-21 | 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 | 2023-03-29 | 2023-04-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-29 | 2023-04-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-29 | 2023-04-21 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-03-29 | 2023-04-21 | Y |
| 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 | 2023-03-29 | 2023-04-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-29 | 2023-04-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-29 | 2023-04-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-29 | 2023-04-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-10 | 2022-11-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-10 | 2022-11-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-10-10 | 2022-11-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-10 | 2022-11-04 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-10 | 2022-11-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-10 | 2022-11-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-24 | 2022-07-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-24 | 2022-07-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-05-20 | 2022-07-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-20 | 2022-07-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-20 | 2022-07-06 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-05-20 | 2022-07-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-24 | 2022-06-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-24 | 2022-06-27 | N |
| Provide activities to meet all resident's needs. | Health | 2022-05-24 | 2022-06-27 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-05-24 | 2022-06-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-24 | 2022-06-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-24 | 2022-06-27 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-05-24 | 2022-06-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-05-24 | 2022-06-27 | N |
| Post nurse staffing information every day. | Health | 2022-05-24 | 2022-06-27 | 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 | 2022-05-24 | 2022-06-27 | N |
| 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 | 2022-05-24 | 2022-06-27 | 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 | 2022-05-24 | 2022-06-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-24 | 2022-06-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-24 | 2022-06-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-05-24 | 2022-06-27 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-05-24 | 2022-06-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-24 | 2022-06-27 | 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 | 2022-05-24 | 2022-06-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-24 | 2022-06-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-24 | 2022-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-20 | 2022-06-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-20 | 2022-06-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-20 | 2022-06-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-20 | 2022-06-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-20 | 2022-06-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-20 | 2022-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-20 | 2022-05-31 | 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 | 2021-07-28 | 2021-09-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-07-28 | 2021-09-10 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-07-28 | 2021-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-28 | 2021-09-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-07-28 | 2021-09-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-28 | 2021-09-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-24 | 2021-09-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-24 | 2021-09-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-29 | 2021-09-03 | Y |
| 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 | 2021-07-29 | 2021-09-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-29 | 2021-09-03 | 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 | 2021-07-29 | 2021-09-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-29 | 2021-09-03 | 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 | 2021-07-29 | 2021-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-29 | 2021-08-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-07-29 | 2021-08-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-29 | 2021-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-30 | 2021-04-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-30 | 2021-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-30 | 2021-03-04 | Y |
