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Deficiency Records for Katherine Healthcare
A list of the most recent deficiencies for Katherine Healthcare. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Katherine Healthcare. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-30 | 2024-05-23 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2024-04-30 | 2024-05-23 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-04-30 | 2024-05-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-30 | 2024-05-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-04-30 | 2024-05-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-30 | 2024-05-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-30 | 2024-05-23 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-04-30 | 2024-05-23 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-04-30 | 2024-05-23 | N |
| Post nurse staffing information every day. | Health | 2024-04-30 | 2024-05-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-30 | 2024-05-23 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-04-30 | 2024-05-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-30 | 2024-05-23 | N |
| 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. | Health | 2024-04-30 | 2024-05-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-30 | 2024-05-23 | 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 | 2024-04-30 | 2024-05-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-30 | 2024-05-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-30 | 2024-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-30 | 2024-05-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-30 | 2024-05-23 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-04-30 | 2024-05-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-04-30 | 2024-05-23 | Y |
| Establish methods for sharing information. | Fire Safety | 2024-04-29 | 2024-05-11 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-04-29 | 2024-05-11 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-04-29 | 2024-05-11 | N |
| Use approved construction type or materials. | Fire Safety | 2024-04-29 | 2024-05-11 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-04-29 | 2024-05-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-29 | 2024-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-29 | 2024-05-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-29 | 2024-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-29 | 2024-05-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-29 | 2024-05-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-09 | 2024-04-26 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-01-22 | 2024-02-08 | Y |
| 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 | 2023-12-19 | 2024-01-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-11 | 2022-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-11 | 2022-03-31 | N |
| 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 | 2022-03-11 | 2022-03-31 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-03-11 | 2022-03-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-11 | 2022-03-31 | N |
| 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. | Health | 2022-03-11 | 2022-03-31 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-03-11 | 2022-03-31 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-03-15 | 2022-03-29 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-03-15 | 2022-03-29 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-03-15 | 2022-03-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-03-15 | 2022-03-29 | N |
| Use approved construction type or materials. | Fire Safety | 2022-03-15 | 2022-03-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-15 | 2022-03-29 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-03-15 | 2022-03-29 | 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 | 2022-03-15 | 2022-03-29 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-03-15 | 2022-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-15 | 2022-03-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-15 | 2022-03-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-15 | 2022-03-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-15 | 2022-03-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-15 | 2022-03-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-15 | 2022-03-29 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-03-15 | 2022-03-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-15 | 2022-03-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-04 | 2022-02-03 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-04 | 2022-02-03 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-04 | 2022-02-03 | Y |
| Use approved construction type or materials. | Fire Safety | 2020-02-11 | 2020-03-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-11 | 2020-03-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-11 | 2020-03-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-11 | 2020-03-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-11 | 2020-03-03 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2020-02-11 | 2020-03-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-16 | 2020-02-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-16 | 2020-02-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-16 | 2020-02-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-16 | 2020-02-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-01-16 | 2020-02-20 | N |
| 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. | Health | 2020-01-16 | 2020-02-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-16 | 2020-02-20 | 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 | 2020-01-16 | 2020-02-20 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-01-16 | 2020-02-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-16 | 2020-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-16 | 2020-02-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-01-16 | 2020-02-20 | N |
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