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Deficiency Records for Kissimmee Health and Rehabilitation Center
A list of the most recent deficiencies for Kissimmee Health and Rehabilitation 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 Kissimmee Health and Rehabilitation 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? |
|---|---|---|---|---|
| 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 | 2024-04-30 | 2024-05-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-29 | 2024-03-25 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-02-29 | 2024-03-25 | 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 | 2024-02-29 | 2024-03-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-29 | 2024-03-25 | 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 | 2024-02-29 | 2024-03-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-29 | 2024-03-25 | 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 | 2024-02-29 | 2024-03-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-29 | 2024-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-29 | 2024-03-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-02-29 | 2024-03-25 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-02-29 | 2024-03-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-28 | 2024-03-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-02-28 | 2024-03-25 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-02-28 | 2024-03-25 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-02-28 | 2024-03-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-28 | 2024-03-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-02-28 | 2024-03-25 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-02-28 | 2024-03-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-19 | 2023-05-19 | 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 | 2023-04-19 | 2023-05-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-19 | 2023-05-19 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-06-28 | 2022-07-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-28 | 2022-07-28 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-05-27 | 2021-06-27 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-05-27 | 2021-06-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-27 | 2021-06-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-27 | 2021-06-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-25 | 2021-06-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-25 | 2021-06-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-25 | 2021-06-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-05-25 | 2021-06-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-25 | 2021-06-27 | N |
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