Deficiency Records for Delano District Skilled Nursing Facility
Updated as of April 01, 2024
A list of the most recent deficiencies for Delano District Skilled Nursing Facility. 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 that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-18 | 2024-02-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-18 | 2024-02-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-01-18 | 2024-02-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-18 | 2024-02-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-18 | 2024-02-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-18 | 2024-02-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-11 | 2024-01-31 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-11 | 2024-01-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-11 | 2024-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-11 | 2024-01-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-11 | 2024-01-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-11 | 2024-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-11 | 2024-01-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-11 | 2024-01-31 | 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 | 2024-01-11 | 2024-01-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-11 | 2024-01-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-03 | 2024-01-19 | 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 | 2023-11-06 | 2023-11-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-13 | 2023-11-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-20 | 2023-11-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-03 | 2023-10-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-25 | 2023-09-28 | Y |
| Provide appropriate foot care. | Health | 2023-09-25 | 2023-09-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-25 | 2023-09-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-17 | 2023-07-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-01 | 2023-06-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-24 | 2023-06-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-07 | 2023-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-14 | 2023-03-03 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-02-07 | 2023-02-22 | 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 | 2023-01-18 | 2023-01-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-13 | 2022-12-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-18 | 2022-08-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-07-07 | 2022-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-20 | 2022-07-20 | 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 | 2022-01-06 | 2022-02-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-06 | 2022-02-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-06 | 2022-02-02 | 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 | 2022-01-06 | 2022-02-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-06 | 2022-02-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-02-02 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-01-10 | 2022-01-24 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-01-10 | 2022-01-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-01-10 | 2022-01-24 | 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 | 2022-01-10 | 2022-01-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-10 | 2022-01-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-10 | 2022-01-24 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-01-10 | 2022-01-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-06 | 2022-01-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-06 | 2022-01-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-21 | 2021-08-04 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2019-07-09 | 2019-08-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-07-09 | 2019-08-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-09 | 2019-08-08 | 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 | 2019-07-09 | 2019-08-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-09 | 2019-08-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-09 | 2019-08-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-09 | 2019-08-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-07-09 | 2019-08-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-07-09 | 2019-08-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-09 | 2019-08-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-09 | 2019-08-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-07-09 | 2019-08-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-09 | 2019-08-08 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-07-09 | 2019-08-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-09 | 2019-08-08 | 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 | 2019-06-06 | 2019-08-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-06 | 2019-08-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-06 | 2019-08-06 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-06-06 | 2019-08-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-06 | 2019-08-06 | N |
| 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 | 2019-06-06 | 2019-08-06 | 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 | 2019-06-06 | 2019-08-06 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-06-06 | 2019-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-06 | 2019-08-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-06 | 2019-08-06 | N |
