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Deficiency Records for Kennedy Care Center
A list of the most recent deficiencies for Kennedy 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 Kennedy 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? |
|---|---|---|---|---|
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-07-23 | 2024-08-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-23 | 2024-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-23 | 2024-08-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-23 | 2024-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-23 | 2024-08-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-23 | 2024-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-23 | 2024-08-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-23 | 2024-08-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-22 | 2024-08-12 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-07-22 | 2024-08-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-07-22 | 2024-08-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-22 | 2024-08-12 | N |
| 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. | Health | 2024-07-22 | 2024-08-12 | 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 | 2024-07-22 | 2024-08-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-22 | 2024-08-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-22 | 2024-08-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-22 | 2024-08-12 | 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 | 2024-07-22 | 2024-08-12 | N |
| Post nurse staffing information every day. | Health | 2024-07-22 | 2024-08-12 | 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 | 2024-07-22 | 2024-08-12 | 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 | 2024-07-22 | 2024-08-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-07-22 | 2024-08-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-22 | 2024-08-12 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-07-22 | 2024-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-22 | 2024-08-12 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-07-22 | 2024-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-08 | 2024-05-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-05 | 2024-05-01 | Y |
| Provide appropriate foot care. | Health | 2024-04-05 | 2024-05-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-05 | 2024-05-01 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-03-02 | 2024-03-28 | Y |
| Post nurse staffing information every day. | Health | 2024-03-02 | 2024-03-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-08 | 2024-03-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-08 | 2024-03-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-08 | 2024-03-02 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-08 | 2024-03-02 | Y |
| 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 | 2024-02-08 | 2024-03-02 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-02-08 | 2024-03-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-29 | 2024-02-20 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-01-29 | 2024-02-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-13 | 2024-02-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-13 | 2024-02-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-13 | 2024-02-02 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-13 | 2024-02-02 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-13 | 2024-02-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-13 | 2024-02-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-07 | 2023-11-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-18 | 2023-11-05 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-12 | 2023-10-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-20 | 2023-10-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-28 | 2023-09-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-09-02 | Y |
| 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 | 2023-08-17 | 2023-09-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-08 | 2023-08-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-08 | 2023-08-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-20 | 2023-06-08 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-05-03 | 2023-05-20 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-04-13 | 2023-04-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-15 | 2022-12-02 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-11-15 | 2022-12-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-26 | 2022-09-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-07 | 2022-09-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-11 | 2022-02-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-25 | 2021-12-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-25 | 2021-12-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-11-25 | 2021-12-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-25 | 2021-12-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-25 | 2021-12-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-25 | 2021-12-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-25 | 2021-12-21 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-11-25 | 2021-12-21 | 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 | 2021-11-25 | 2021-12-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-25 | 2021-12-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-25 | 2021-12-21 | 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 | 2021-11-25 | 2021-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-25 | 2021-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-25 | 2021-12-21 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-11-25 | 2021-12-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-24 | 2021-12-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-24 | 2021-12-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-24 | 2021-12-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-24 | 2021-12-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-24 | 2021-12-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-24 | 2021-12-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-24 | 2020-02-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-01-24 | 2020-02-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-24 | 2020-02-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-24 | 2020-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-24 | 2020-02-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-24 | 2020-02-21 | 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 | 2020-01-24 | 2020-02-21 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-01-24 | 2020-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-24 | 2020-02-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-23 | 2020-02-12 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-01-23 | 2020-02-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-23 | 2020-02-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-23 | 2020-02-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-23 | 2020-02-12 | N |
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