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Deficiency Records for Cloverleaf of Knightsville

A list of the most recent deficiencies for Cloverleaf of Knightsville. 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 Cloverleaf of Knightsville. 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?
Meet other general requirements that are deficient. Fire Safety 2025-01-13 2025-02-12 N
Provide properly protected cooking facilities. Fire Safety 2025-01-13 2025-02-12 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-12-18 2025-01-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-12-18 2025-01-17 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 2024-12-18 2025-01-17 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-12-18 2025-01-17 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2024-12-18 2025-01-17 N
Ensure medication error rates are not 5 percent or greater. Health 2024-12-18 2025-01-17 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 2024-12-18 2025-01-17 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 2024-12-18 2025-01-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-12-18 2025-01-17 N
Implement a program that monitors antibiotic use. Health 2024-12-18 2025-01-17 N
Have exits that are accessible at all times. Fire Safety 2023-11-27 2023-12-27 N
Have an externally vented heating system. Fire Safety 2023-11-27 2023-12-27 N
Establish staff and initial training requirements. Fire Safety 2023-11-27 2023-12-14 N
Install proper backup exit lighting. Fire Safety 2023-11-27 2023-12-14 N
Construct fire resistant interior walls. Fire Safety 2023-11-27 2023-12-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-27 2023-12-14 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-11-27 2023-12-14 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-11-27 2023-12-14 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-11-27 2023-12-14 N
Have restrictions on the use of portable space heaters. Fire Safety 2023-11-27 2023-12-14 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-11-27 2023-12-14 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-11-03 2023-12-08 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-03 2023-12-08 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 2023-11-03 2023-12-08 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 2023-11-03 2023-12-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-03 2023-12-08 N
Provide and implement an infection prevention and control program. Health 2023-11-03 2023-12-08 N
Implement a program that monitors antibiotic use. Health 2023-11-03 2023-12-08 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2023-11-03 2023-12-08 N
Implement emergency and standby power systems. Fire Safety 2022-08-30 2022-09-30 N
Meet other general requirements that are deficient. Fire Safety 2022-08-30 2022-09-30 N
Construct fire resistant interior walls. Fire Safety 2022-08-30 2022-09-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-08-30 2022-09-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-08-30 2022-09-30 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-08-30 2022-09-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-08-30 2022-09-30 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-08-30 2022-09-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-08-30 2022-09-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-08-30 2022-09-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-08-04 2022-09-04 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 2022-08-04 2022-09-04 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 2022-08-04 2022-09-04 N
Provide enough food/fluids to maintain a resident's health. Health 2022-08-04 2022-09-04 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 2022-08-04 2022-09-04 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 2022-08-04 2022-09-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-04 2022-09-04 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2022-08-04 2022-09-04 N

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