Dells Nursing And Rehab Center Inc
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
expected the resident's physician to be notified each time. DON A confirmed the medication errors and the blood pressure policy had not been followed.Interview and record review on 10/30/25 at 4:25 p.m. with CMA C revealed that, when administering residents' medications that had BP hold parameters, she would check
the resident's blood pressure, and if it was out of parameters, she would not administer the medication. If
she were to have administered the medication and later noticed that the medication should not have been given, she would have reported it to the nurse. She was not aware she had administered medication twice
in October 2025 to resident 1 when it should have been held.When checking the resident's vital signs, and
they were not normal for the resident, she would notify the nurse. She was not aware of the facility's Blood Pressure Parameter Policy, and when she should notify the nurse related to blood pressure concerns.
Interview on 10/30/25 at 4:33 p.m. with RN B revealed, if she had noticed that a resident's medication was given that should have been held, she would have checked the resident's vital signs and followed the facility's medication error policy and notified the residents physician, the DON, and the resident's family.If a resident's BP was out of parameters, she would recheck the resident's BP after a few minutes, and if it was still out of parameters, she would notify the resident's physician. To know if the vital signs were out of parameters, she would look at the reference sheet that had the parameters listed on it, which was located at the nurses' station. 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.
Event ID:
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If continuation sheet
DELLS NURSING AND REHAB CENTER INC in DELL RAPIDS, SD inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in DELL RAPIDS, SD, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from DELLS NURSING AND REHAB CENTER INC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.