Dells Nursing And Rehab Center Inc
DELLS NURSING AND REHAB CENTER INC in DELL RAPIDS, SD — inspection on November 24, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the provider's 8/6/13 medication aide job description revealed the CMA was responsible for observing symptoms and responses to medications and for reporting such to the charge nurse.
They were to take and record vital signs, record and report observations and changes in [the] resident's condition to the charge nurse.
They were responsible in notifying [the] charge nurse regarding med errors.
All entries in [the] resident's chart must be co-signed by [the] charge nurse.
Review of the providers' 8/6/13 registered nurses' job description revealed that they were to render professional nursing care to residents, be accountable for demonstrating the ability to identify and utilize quality resident care, observe and report symptoms and conditions of residents, and administer medications as prescribed by the resident's physician.
Their essential job duties included to distribute medications accurately and safely.per physician order, participate and facilitate in resident care planning and shift records, maintain records reflecting resident conditions, medication and treatments, and supervise, assign duties, and provide leadership to all nursing staff.
Review of the providers' 8/1/24 Blood Pressure and Blood Sugar Parameter Policy revealed the purpose was to ensure adequate blood pressure.parameters are reported and monitored by Physicians.
The physician was to be notified when [a] blood pressure is greater than 180/110 or systolic is lower than 85.
Review of the providers' 2/1/25 Medication: General Rules Policy revealed the provider expects all employees who administer medications to apply professional standards of care during the process of medication administration. To give medications only upon written orders of a physician.
For medication errors, an occurrence report will be filed, the physician, Director of Nursing & POA [power of attorney] will be informed.
The resident will be monitored for twenty-four (24) hours following the error.
The Director of Nursing will review, follow-up/education and report medication errors at the QA [quality assurance] meeting.
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