A list of the most recent deficiencies for Dreier's Nursing Care 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? |
|---|---|---|---|---|
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-02-15 | 2024-03-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-29 | 2024-02-20 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-09 | 2023-09-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-18 | 2022-12-13 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-08-31 | 2022-09-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-23 | 2022-07-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-20 | 2022-05-25 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-04-15 | 2022-05-09 | 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 | 2022-04-15 | 2022-05-09 | N |
| Post nurse staffing information every day. | Health | 2022-04-15 | 2022-05-09 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-04-15 | 2022-05-09 | 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 | 2022-05-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-15 | 2022-05-09 | 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 | 2022-05-09 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-04-15 | 2022-05-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-15 | 2022-05-09 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2022-04-15 | 2022-05-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-11 | 2022-03-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-15 | 2021-10-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-14 | 2021-05-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-14 | 2021-05-26 | 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 | 2019-11-21 | 2019-12-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-21 | 2019-12-19 | 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 | 2019-11-21 | 2019-12-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-21 | 2019-12-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-21 | 2019-12-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-21 | 2019-12-19 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-11-21 | 2019-12-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-21 | 2019-12-19 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-11-21 | 2019-12-19 | 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 | 2019-11-21 | 2019-12-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-21 | 2019-12-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-21 | 2019-12-19 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-11-21 | 2019-12-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-21 | 2019-12-19 | 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 | 2019-11-21 | 2019-12-19 | 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 | 2019-11-21 | 2019-12-19 | 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 | 2019-11-21 | 2019-12-19 | 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 | 2019-11-21 | 2019-12-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2019-12-19 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-11-21 | 2019-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2019-12-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-11-21 | 2019-12-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-25 | 2019-12-19 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-11-25 | 2019-12-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-25 | 2019-12-19 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2019-11-25 | 2019-12-19 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-11-21 | 2018-12-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-21 | 2018-12-28 | 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 | 2018-11-21 | 2018-12-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-21 | 2018-12-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-21 | 2018-12-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-11-21 | 2018-12-28 | 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 | 2018-11-21 | 2018-12-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-21 | 2018-12-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-21 | 2018-12-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-11-21 | 2018-12-28 | 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 | 2018-11-21 | 2018-12-28 | 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 | 2018-11-21 | 2018-12-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-21 | 2018-12-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-21 | 2018-12-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-11-21 | 2018-12-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-11-28 | 2018-12-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-11-28 | 2018-12-19 | 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 | 2018-11-28 | 2018-12-19 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-11-28 | 2018-12-19 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2018-11-28 | 2018-12-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-28 | 2018-12-19 | N |
