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Deficiency Records for Kiowa Hills Rehabilitation and Nursing LLC

A list of the most recent deficiencies for Kiowa Hills Rehabilitation and Nursing LLC. 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 Kiowa Hills Rehabilitation and Nursing LLC. 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?
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-01-02 2024-03-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-02 2024-03-19 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-01-02 2024-03-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-01-02 2024-03-19 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-01-02 2024-03-04 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-01-02 2024-03-04 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-01-02 2024-03-01 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-12-07 2024-02-28 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 2023-12-07 2024-02-28 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-12-07 2024-02-28 N
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 2023-12-07 2024-02-28 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2023-12-07 2024-02-28 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 2023-12-07 2024-02-28 N
Ensure that residents are free from significant medication errors. Health 2023-12-07 2024-02-28 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 2023-12-07 2024-02-28 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-12-07 2024-02-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-07 2024-02-28 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2023-12-07 2024-02-28 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2023-12-07 2024-02-28 N
Provide and implement an infection prevention and control program. Health 2023-12-07 2024-02-28 N
Have enough outside ventilation via a window or mechanical ventilation, or both. Health 2023-12-07 2024-02-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-07 2024-02-28 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-12-07 2024-02-28 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-12-07 2024-02-28 Y
Establish staff and initial training requirements. Fire Safety 2023-12-07 2024-02-28 N
Provide properly protected cooking facilities. Fire Safety 2024-01-02 2024-01-25 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-09-18 2023-10-21 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-09-18 2023-10-12 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-18 2023-10-12 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-09-18 2023-10-12 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-12-13 2023-01-06 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-09-06 2022-11-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-09-06 2022-11-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-09-06 2022-11-15 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2022-08-25 2022-09-28 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-08-25 2022-09-28 N
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2022-08-25 2022-09-28 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 2022-08-25 2022-09-28 N
Provide care by qualified persons according to each resident's written plan of care. Health 2022-08-25 2022-09-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-08-25 2022-09-28 N
Provide activities to meet all resident's needs. Health 2022-08-25 2022-09-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-25 2022-09-28 N
Provide appropriate foot care. Health 2022-08-25 2022-09-28 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 2022-08-25 2022-09-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-25 2022-09-28 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 2022-08-25 2022-09-28 N
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2022-08-25 2022-09-28 N
Provide enough food/fluids to maintain a resident's health. Health 2022-08-25 2022-09-28 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-08-25 2022-09-28 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 2022-08-25 2022-09-28 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-08-25 2022-09-28 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2022-08-25 2022-09-28 N
Provide and implement an infection prevention and control program. Health 2022-08-25 2022-09-28 N
Perform COVID19 testing on residents and staff. Health 2022-08-25 2022-09-28 N
Ensure staff are vaccinated for COVID-19 Health 2022-08-25 2022-09-28 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-08-25 2022-09-28 N
List the names and contact information of those in the facility. Fire Safety 2022-08-25 2022-09-28 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-06-30 2021-08-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-06-30 2021-08-06 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-06-17 2021-07-16 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-06-17 2021-07-16 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2021-06-17 2021-07-16 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2021-06-17 2021-07-16 N
Address subsistence needs for staff and patients. Fire Safety 2021-06-17 2021-07-16 N
Establish staff and initial training requirements. Fire Safety 2021-06-17 2021-07-16 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 2021-06-30 2021-06-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-06-30 2021-06-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-09-06 Not Fixed N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-06 Not Fixed N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-09-06 Not Fixed N

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