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Deficiency Records for Complete Care at Kimberly Hall North

A list of the most recent deficiencies for Complete Care at Kimberly Hall North. 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 Complete Care at Kimberly Hall North. 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-05-08 2024-06-19 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-05-08 2024-05-08 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-12-12 2022-12-13 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-12 2022-12-13 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-12 2022-12-13 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-05-02 2022-07-15 N
Establish emergency prep training and testing. Fire Safety 2022-05-02 2022-07-15 N
Establish staff and initial training requirements. Fire Safety 2022-05-02 2022-07-15 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-05-02 2022-07-15 N
Provide properly protected cooking facilities. Fire Safety 2022-05-02 2022-07-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-05-02 2022-07-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-05-02 2022-07-15 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-05-02 2022-07-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-05-02 2022-07-15 N
Provide a written emergency evacuation plan. Fire Safety 2022-05-02 2022-07-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-05-02 2022-07-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-05-02 2022-07-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-05-02 2022-07-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-05-02 2022-07-15 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-05-26 2022-07-06 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-05-26 2022-07-06 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-05-26 2022-07-06 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-05-26 2022-07-06 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2022-05-26 2022-07-06 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2022-05-26 2022-07-06 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-05-26 2022-06-12 N
Ensure that residents are free from significant medication errors. Health 2022-05-26 2022-06-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-24 2019-12-12 N
Respond appropriately to all alleged violations. Health 2019-09-26 2019-11-05 N
Ensure each resident receives an accurate assessment. Health 2019-09-26 2019-11-05 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 2019-09-26 2019-11-05 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-09-26 2019-11-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-09-26 2019-11-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-09-26 2019-11-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-09-26 2019-11-05 N
Dispose of garbage and refuse properly. Health 2019-09-26 2019-11-05 N
Have exits that are accessible at all times. Fire Safety 2018-08-28 2018-11-13 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 2018-08-28 2018-11-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-08-28 2018-11-13 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2018-08-28 2018-11-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2018-08-28 2018-11-13 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2018-08-28 2018-11-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-08-28 2018-11-13 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 2018-08-30 2018-10-11 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2018-08-30 2018-10-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-08-30 2018-10-11 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2018-08-30 2018-10-11 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2018-08-30 2018-10-11 N
Provide and implement an infection prevention and control program. Health 2018-08-30 2018-10-11 N

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