Facility profile · CCN 265862
Delta South Nursing & Rehabilitation
34 federal citations on record .
Record summary
Federal record · Q1 202634
Total citations
19
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
34 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 7, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Nov 7, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Nov 7, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Nov 7, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Nov 7, 2024 | F758 | 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. | D | Standard |
| Nov 7, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Nov 7, 2024 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard |
| Nov 7, 2024 | F584 | 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. | D | Standard |
| Nov 7, 2024 | F578 | 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. | D | Standard |
| Aug 31, 2023 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard |
| Aug 31, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 31, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Aug 31, 2023 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| Aug 31, 2023 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Aug 31, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard |
| Aug 31, 2023 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard |
| Aug 31, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Aug 31, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Aug 31, 2023 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Jul 30, 2021 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Jul 30, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jul 30, 2021 | F758 | 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. | D | Standard |
| Jul 30, 2021 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Jul 30, 2021 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard |
| Jul 30, 2021 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jul 30, 2021 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jul 30, 2021 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Jul 30, 2021 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Jul 30, 2021 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Jul 30, 2021 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
| Jul 30, 2021 | F606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Standard |
| Jul 30, 2021 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| Jul 30, 2021 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Jul 30, 2021 | F578 | 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. | D | Standard |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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