Deficiency Records for The Homestead of Denison

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Updated as of April 01, 2024

A list of the most recent deficiencies for The Homestead of Denison. 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?
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-01-04 2024-01-19 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-01-04 2024-01-19 Y
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Health 2024-01-04 2024-01-19 Y
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2023-11-08 2023-12-20 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-11-08 2023-11-16 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 2023-11-10 2023-11-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-10 2023-11-14 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-11-10 2023-11-14 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-11-10 2023-11-14 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-11-10 2023-11-14 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-11-08 2023-11-13 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-11-10 2023-11-11 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-11-10 2023-11-11 Y
Have proper medical gas storage and administration areas. Fire Safety 2023-11-08 2023-11-11 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-10-14 2023-10-15 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-07-13 2023-08-01 Y
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 2023-07-13 2023-08-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-10 2023-07-26 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-05-25 2023-06-30 Y
Provide and implement an infection prevention and control program. Health 2023-05-25 2023-06-30 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-04-06 2023-04-26 Y
Provide and implement an infection prevention and control program. Health 2023-04-06 2023-04-26 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-10 2023-04-07 Y
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2022-09-14 2022-10-29 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-09-14 2022-10-29 N
Provide and implement an infection prevention and control program. Health 2022-09-15 2022-10-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-09-15 2022-10-03 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 2022-09-15 2022-10-03 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-09-15 2022-10-03 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-09-15 2022-10-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-15 2022-10-03 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-09-15 2022-10-03 Y
Have simulated fire drills held at unexpected times. Fire Safety 2022-09-14 2022-09-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-13 2022-08-05 Y
Provide and implement an infection prevention and control program. Health 2022-05-18 2022-06-15 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-05-18 2022-06-03 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-05-18 2022-06-03 Y
Provide and implement an infection prevention and control program. Health 2021-09-09 2021-10-07 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-30 2021-09-09 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-07-29 2021-09-01 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-07-29 2021-09-01 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 2021-07-29 2021-09-01 N
Provide properly protected cooking facilities. Fire Safety 2021-07-29 2021-09-01 N
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 2021-07-30 2021-08-16 Y
PASARR screening for Mental disorders or Intellectual Disabilities Health 2021-07-30 2021-08-16 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-07-30 2021-08-16 Y
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 2021-07-30 2021-08-16 Y
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 2021-07-30 2021-08-16 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-07-30 2021-08-16 Y
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Health 2021-07-30 2021-08-16 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-30 2021-08-16 Y
Dispose of garbage and refuse properly. Health 2021-07-30 2021-08-16 Y
Provide and implement an infection prevention and control program. Health 2021-07-30 2021-08-16 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 2021-05-10 2021-06-04 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-10 2021-06-04 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-05-10 2021-06-04 Y