Deficiency Records for Delano District Skilled Nursing Facility
Updated as of August 01, 2023
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? |
---|---|---|---|---|
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 |
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 |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-02-03 | 2021-02-17 | Y |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-11-16 | 2020-11-23 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-16 | 2020-09-28 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-08-14 | 2020-08-28 | 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 |
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 |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-06-07 | 2018-06-22 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2018-06-07 | 2018-06-22 | 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 | 2018-06-07 | 2018-06-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-07 | 2018-06-22 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-06-07 | 2018-06-22 | N |
Have generator or other power source capable of supplying service within 10 seconds. | 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 and implement policies and procedures to prevent abuse, neglect, and theft. | 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 |
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 | 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 |