A list of the most recent deficiencies for Diamond Ridge Healthcare 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2024-01-26 | 2024-02-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-01 | 2023-11-20 | 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 | 2023-10-17 | 2023-11-13 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-10-17 | 2023-11-13 | 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 | 2023-08-23 | 2023-09-19 | Y |
| Keep all essential equipment working safely. | Health | 2023-08-23 | 2023-09-19 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-07-18 | 2023-07-31 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-18 | 2023-05-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-18 | 2023-05-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-04 | 2023-04-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-10 | 2023-04-10 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-04-20 | 2022-05-23 | 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 | 2022-04-20 | 2022-05-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-20 | 2022-05-23 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-04-20 | 2022-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-20 | 2022-05-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-20 | 2022-05-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-20 | 2022-05-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-20 | 2022-05-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-04-20 | 2022-05-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-20 | 2022-05-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-20 | 2022-05-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-15 | 2022-04-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-15 | 2022-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-15 | 2022-04-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-15 | 2022-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-15 | 2022-04-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-15 | 2022-04-30 | 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 | 2022-04-15 | 2022-04-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-15 | 2022-04-30 | 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 | 2022-04-15 | 2022-04-30 | 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 | 2022-04-15 | 2022-04-30 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-04-15 | 2022-04-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-15 | 2022-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-15 | 2022-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-15 | 2022-04-30 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-15 | 2022-04-30 | N |
| Keep all essential equipment working safely. | Health | 2022-04-15 | 2022-04-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-08-19 | 2021-09-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-19 | 2021-09-13 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-10 | 2019-10-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-10 | 2019-10-08 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-09-10 | 2019-10-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-10 | 2019-10-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-10 | 2019-10-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-10 | 2019-10-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-10 | 2019-10-08 | N |
| 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 | 2019-07-18 | 2019-08-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-18 | 2019-08-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-18 | 2019-08-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-07-18 | 2019-08-18 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-07-18 | 2019-08-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-18 | 2019-08-18 | 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 | 2019-07-18 | 2019-08-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-18 | 2019-08-18 | 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 | 2019-07-18 | 2019-08-18 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-07-18 | 2019-08-18 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-07-18 | 2019-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-18 | 2019-08-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-18 | 2019-08-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-18 | 2019-08-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-23 | 2018-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-23 | 2018-09-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-23 | 2018-09-10 | N |
| 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 | 2018-06-07 | 2018-07-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-07 | 2018-07-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-07 | 2018-07-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-07 | 2018-07-07 | N |
