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Deficiency Records for Diversicare of Haysville
A list of the most recent deficiencies for Diversicare of Haysville. 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 Diversicare of Haysville. 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 manage his or her financial affairs. | Health | 2023-10-12 | 2023-11-24 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-10-12 | 2023-11-24 | Y |
| 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 | 2023-10-12 | 2023-11-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-12 | 2023-09-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-27 | 2023-06-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-31 | 2023-06-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-31 | 2023-06-26 | 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 | 2023-05-31 | 2023-06-26 | 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 | 2023-05-31 | 2023-06-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-31 | 2023-06-26 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-31 | 2023-06-26 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-31 | 2023-06-26 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-31 | 2023-06-26 | Y |
| 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 | 2023-05-31 | 2023-06-26 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-05-31 | 2023-06-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-31 | 2023-06-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-31 | 2023-06-26 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-05-31 | 2023-06-26 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-31 | 2023-06-26 | Y |
| 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 | 2023-05-09 | 2023-06-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-09 | 2023-06-15 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-05-09 | 2023-06-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-09 | 2023-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-09 | 2023-06-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-09 | 2023-06-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-09 | 2023-06-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-09 | 2023-06-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-09 | 2023-06-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-05-09 | 2023-06-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-09 | 2023-06-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-09 | 2023-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-09 | 2023-06-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-09 | 2023-06-15 | N |
| Use approved construction type or materials. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-23 | 2021-12-22 | 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 | 2021-11-23 | 2021-12-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-23 | 2021-12-22 | 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 | 2021-11-23 | 2021-11-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-11-23 | 2021-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-14 | 2021-11-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-30 | 2019-11-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-30 | 2019-11-21 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-10-30 | 2019-11-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-10-30 | 2019-11-21 | 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 | 2019-10-30 | 2019-11-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-30 | 2019-11-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-30 | 2019-11-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-30 | 2019-11-21 | 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 | 2019-10-30 | 2019-11-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-30 | 2019-11-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-30 | 2019-11-21 | 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 | 2019-10-30 | 2019-11-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-30 | 2019-11-21 | 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 | 2019-10-30 | 2019-11-21 | 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 | 2019-10-30 | 2019-11-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-30 | 2019-11-21 | 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 | 2019-10-30 | 2019-11-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-10-30 | 2019-11-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-19 | 2019-09-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-19 | 2019-09-19 | N |
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