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Deficiency Records for Kutz Rehabilitation and Nursing

A list of the most recent deficiencies for Kutz Rehabilitation and Nursing. 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 Kutz Rehabilitation and Nursing. 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 2024-03-22 2024-04-16 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-03-22 2024-04-16 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-03-22 2024-04-16 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2024-02-16 2024-04-15 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-02-16 2024-04-15 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 2024-02-16 2024-04-15 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-02-16 2024-04-15 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-02-16 2024-04-15 N
Respond appropriately to all alleged violations. Health 2024-02-16 2024-04-15 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-02-16 2024-04-15 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2024-02-16 2024-04-15 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 2024-02-16 2024-04-15 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-16 2024-04-15 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 2024-02-16 2024-04-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-16 2024-04-15 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 2024-02-16 2024-04-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-16 2024-04-15 N
Use approved construction type or materials. Fire Safety 2023-01-19 2023-02-10 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-01-19 2023-02-10 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-01-19 2023-02-10 N
Provide properly protected cooking facilities. Fire Safety 2023-01-19 2023-02-10 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-01-19 2023-02-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-19 2023-02-10 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-01-19 2023-02-10 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-01-19 2023-02-10 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-01-09 2023-02-03 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 2023-01-09 2023-02-03 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-01-09 2023-02-03 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-01-09 2023-02-03 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 2023-01-09 2023-02-03 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-01-09 2023-02-03 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-01-09 2023-02-03 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 2023-01-09 2023-02-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-01-09 2023-02-03 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 2023-01-09 2023-02-03 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 2023-01-09 2023-02-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-01-09 2023-02-03 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2023-01-09 2023-02-03 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-01-09 2023-02-03 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-01-09 2023-02-03 N
Implement a program that monitors antibiotic use. Health 2023-01-09 2023-02-03 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2023-01-09 2023-02-03 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2022-07-01 2022-08-29 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2019-09-19 2019-10-22 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 2019-09-19 2019-10-22 N
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 2019-09-19 2019-10-22 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2019-09-19 2019-10-22 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-09-19 2019-10-22 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-09-19 2019-10-22 N
Provide enough food/fluids to maintain a resident's health. Health 2019-09-19 2019-10-22 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 2019-09-19 2019-10-22 N

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