Deficiency Records for Delano District Skilled Nursing Facility
Updated as of August 01, 2020
This is not the most recent data for Delano District Skilled Nursing Facility. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 | 2018-08-28 | 2018-09-12 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-08-28 | 2018-09-12 | 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 | 2018-07-30 | 2018-08-22 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-07-24 | 2018-08-06 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-07 | 2018-06-22 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-06-07 | 2018-06-22 | N |
| Develop a communication plan. | Fire Safety | 2018-06-07 | 2018-06-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-06-07 | 2018-06-22 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-05-10 | 2018-06-07 | 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 | 2018-05-10 | 2018-06-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-10 | 2018-06-07 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-05-10 | 2018-06-07 | 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 | 2018-05-10 | 2018-06-07 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-05-10 | 2018-06-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-05-10 | 2018-06-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-10 | 2018-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-10 | 2018-06-07 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2018-05-10 | 2018-06-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-10 | 2018-06-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-10 | 2018-06-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-01-16 | 2018-01-29 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-08-15 | 2017-08-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-06-08 | 2017-08-02 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-06-08 | 2017-08-02 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-06-08 | 2017-08-02 | N |
| Provide housekeeping and maintenance services. | Health | 2017-06-08 | 2017-08-02 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-06-08 | 2017-08-02 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-08 | 2017-08-02 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-08 | 2017-08-02 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-08 | 2017-08-02 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-06-08 | 2017-08-02 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-08 | 2017-08-02 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-08 | 2017-08-02 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-08 | 2017-08-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-06-08 | 2017-08-02 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-06-08 | 2017-08-02 | 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 | 2017-06-21 | 2017-07-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-21 | 2017-07-21 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-06-21 | 2017-07-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-06-21 | 2017-07-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-06-21 | 2017-07-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-06-21 | 2017-07-21 | N |
