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🔎 Landmark Of Danville Rehabilitation And Nursing Ce

Inspection Results


Inspection Overview

Landmark Of Danville Rehabilitation And Nursing Ce has been cited for a total of 49 deficiencies since we began saving each survey.

In Kentucky, the average facility has **17.54 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: D

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.

Survey Date: 2024-06-12
Correction Date: 2024-07-05
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2024-06-12
Correction Date: 2024-07-05
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: D

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.

Survey Date: 2024-06-12
Correction Date: 2024-07-05
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2024-06-12
Correction Date: 2024-07-05
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2024-06-12
Correction Date: 2024-07-05
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: D

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2024-01-12
Correction Date: 2024-01-21
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: E

Keep residents' personal and medical records private and confidential.

Survey Date: 2023-10-21
Correction Date: 2024-01-12
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey Date: 2023-10-21
Correction Date: 2024-01-12
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: J

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey Date: 2023-10-21
Correction Date: 2024-01-12
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2023-10-21
Correction Date: 2024-01-21
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: D

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.

Survey Date: 2023-10-21
Correction Date: 2024-01-12
Category: Pharmacy Service Deficiencies
From Complaint: Y

Scope/Severity: J

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey Date: 2023-10-21
Correction Date: 2024-01-12
Category: Administration Deficiencies
From Complaint: Y

Scope/Severity: J

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.

Survey Date: 2023-09-29
Correction Date: 2024-01-12
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: E

Keep residents' personal and medical records private and confidential.

Survey Date: 2023-09-29
Correction Date: 2024-01-12
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey Date: 2023-09-29
Correction Date: 2024-01-12
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey Date: 2023-09-29
Correction Date: 2024-01-12
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: J

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey Date: 2023-09-29
Correction Date: 2024-01-12
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: J

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2023-09-29
Correction Date: 2024-01-12
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: J

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2023-09-29
Correction Date: 2024-01-12
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: D

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2023-09-29
Correction Date: 2024-01-21
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: J

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey Date: 2023-09-29
Correction Date: 2024-01-12
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2023-09-29
Correction Date: 2024-01-12
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: D

Provide safe, appropriate pain management for a resident who requires such services.

Survey Date: 2023-09-29
Correction Date: 2024-01-12
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: J

Ensure that residents are free from significant medication errors.

Survey Date: 2023-09-29
Correction Date: 2024-01-12
Category: Pharmacy Service Deficiencies
From Complaint: Y

Scope/Severity: D

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.

Survey Date: 2023-09-29
Correction Date: 2024-01-12
Category: Pharmacy Service Deficiencies
From Complaint: Y

Scope/Severity: J

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey Date: 2023-09-29
Correction Date: 2024-01-12
Category: Administration Deficiencies
From Complaint: Y

Scope/Severity: J

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey Date: 2021-06-04
Correction Date: 2021-06-19
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: J

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2021-06-04
Correction Date: 2021-06-19
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: G

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey Date: 2021-06-04
Correction Date: 2021-06-19
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: J

Provide enough food/fluids to maintain a resident's health.

Survey Date: 2021-06-04
Correction Date: 2021-06-19
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: J

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey Date: 2021-06-04
Correction Date: 2021-06-19
Category: Administration Deficiencies
From Complaint: Y

Scope/Severity: J

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey Date: 2021-06-04
Correction Date: 2021-06-19
Category: Administration Deficiencies
From Complaint: Y

Scope/Severity: D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey Date: 2021-03-26
Correction Date: 2021-04-17
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey Date: 2021-03-26
Correction Date: 2021-04-17
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: F

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey Date: 2021-03-26
Correction Date: 2021-04-17
Category: Environmental Deficiencies
From Complaint: Y

Scope/Severity: J

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey Date: 2021-02-26
Correction Date: 2021-03-19
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: J

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2021-02-26
Correction Date: 2021-03-19
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: J

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey Date: 2021-02-26
Correction Date: 2021-03-19
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Provide enough food/fluids to maintain a resident's health.

Survey Date: 2021-02-26
Correction Date: 2021-03-19
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey Date: 2021-02-26
Correction Date: 2021-03-19
Category: Pharmacy Service Deficiencies
From Complaint: Y

Scope/Severity: D

Protect each resident from the wrongful use of the resident's belongings or money.

Survey Date: 2020-09-18
Correction Date: 2020-10-22
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: Y

Scope/Severity: D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey Date: 2020-09-18
Correction Date: 2020-10-22
Category: Pharmacy Service Deficiencies
From Complaint: Y

Scope/Severity: D

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.

Survey Date: 2019-04-18
Correction Date: 2019-05-17
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey Date: 2018-01-25
Correction Date: 2018-02-07
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Survey Date: 2018-01-25
Correction Date: 2018-02-07
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: D

Provide care by qualified persons according to each resident's written plan of care.

Survey Date: 2016-11-17
Correction Date: 2016-12-03
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

Survey Date: 2016-11-17
Correction Date: 2016-12-03
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.

Survey Date: 2016-11-17
Correction Date: 2016-12-03
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: D

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

Survey Date: 2016-11-17
Correction Date: 2016-12-03
Category: Nutrition and Dietary Deficiencies
From Complaint: N


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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**