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Deficiency Records for Kyakameena Care Center
A list of the most recent deficiencies for Kyakameena Care Center. 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 Kyakameena Care Center. 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-10 | 2024-07-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-07-10 | 2024-07-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-10 | 2024-07-29 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-07-10 | 2024-07-29 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-07-10 | 2024-07-29 | 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 | 2024-06-20 | 2024-07-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-20 | 2024-07-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-20 | 2024-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-20 | 2024-07-18 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2024-06-20 | 2024-07-18 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-06-20 | 2024-07-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-01 | 2023-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-22 | 2023-11-01 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-09-22 | 2023-11-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-21 | 2023-11-01 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-03-28 | 2023-04-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-15 | 2022-10-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-10 | 2021-08-13 | N |
| 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 | 2021-06-10 | 2021-08-13 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-06-10 | 2021-08-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-10 | 2021-08-13 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-06-10 | 2021-08-13 | 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 | 2021-06-10 | 2021-08-13 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-06-10 | 2021-08-13 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-06-10 | 2021-08-13 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-06-10 | 2021-08-13 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-06-10 | 2021-08-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-10 | 2021-08-13 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-06-10 | 2021-08-13 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Use approved construction type or materials. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-15 | 2021-07-15 | 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 | 2021-06-15 | 2021-07-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-15 | 2021-07-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-05-16 | 2019-06-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-16 | 2019-06-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-16 | 2019-06-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-16 | 2019-06-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-14 | 2019-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-14 | 2019-04-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-14 | 2019-04-10 | 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 | 2019-03-14 | 2019-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-14 | 2019-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-14 | 2019-04-10 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2019-03-14 | 2019-04-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-03-14 | 2019-04-10 | N |
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