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Deficiency Records for Medicalodges Leavenworth

A list of the most recent deficiencies for Medicalodges Leavenworth. 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 Medicalodges Leavenworth. 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-09-18 2023-10-20 Y
Respond appropriately to all alleged violations. Health 2023-09-18 2023-10-20 Y
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 2023-08-28 2023-09-20 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-28 2023-09-20 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-10 2023-06-15 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-04-10 2023-06-15 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 2023-04-10 2023-06-15 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 2023-04-10 2023-06-15 N
Provide and implement an infection prevention and control program. Health 2023-04-10 2023-06-15 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-04-10 2023-06-15 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 2023-05-09 2023-06-10 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-05-09 2023-06-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-09 2023-06-10 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-05-09 2023-06-10 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-05-09 2023-06-10 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-05-09 2023-06-10 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-04-10 2023-05-09 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-04-10 2023-05-09 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2023-04-10 2023-05-09 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-04-10 2023-05-09 N
Keep residents' personal and medical records private and confidential. Health 2023-04-10 2023-05-09 N
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 2023-04-10 2023-05-09 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-04-10 2023-05-09 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-04-10 2023-05-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-04-10 2023-05-09 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 2023-04-10 2023-05-09 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-04-10 2023-05-09 N
Provide activities to meet all resident's needs. Health 2023-04-10 2023-05-09 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-10 2023-05-09 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 2023-04-10 2023-05-09 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-04-10 2023-05-09 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-04-10 2023-05-09 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-04-10 2023-05-09 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-04-10 2023-05-09 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-04-10 2023-05-09 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 2023-04-10 2023-05-09 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-04-10 2023-05-09 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2023-04-10 2023-05-09 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-01-04 2022-02-03 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 2021-10-18 2021-12-23 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-10-18 2021-12-23 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 2021-10-18 2021-12-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-10-18 2021-12-23 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-10-18 2021-12-23 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-10-18 2021-12-23 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-10-18 2021-12-23 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-10-18 2021-12-23 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-10-18 2021-12-23 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-10-18 2021-12-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-10-18 2021-12-23 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-10-18 2021-12-23 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-09-16 2021-10-31 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-09-16 2021-10-31 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 2021-09-16 2021-10-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-09-16 2021-10-31 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 2021-09-16 2021-10-31 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 2021-09-16 2021-10-31 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 2021-09-16 2021-10-31 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 2021-09-16 2021-10-31 N
Ensure medication error rates are not 5 percent or greater. Health 2021-09-16 2021-10-31 N
Ensure that residents are free from significant medication errors. Health 2021-09-16 2021-10-31 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 2021-09-16 2021-10-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-09-16 2021-10-31 N
Provide and implement an infection prevention and control program. Health 2021-09-16 2021-10-31 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2021-09-16 2021-10-31 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-09-16 2021-10-31 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 2019-11-26 2020-01-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-11-26 2019-12-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-11-26 2019-12-20 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-11-26 2019-12-20 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 2019-11-26 2019-12-20 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-11-26 2019-12-20 N
Establish emergency prep training and testing. Fire Safety 2019-10-08 2019-11-08 N
Implement emergency and standby power systems. Fire Safety 2019-10-08 2019-11-08 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-10-08 2019-11-08 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-10-08 2019-11-08 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-10-08 2019-11-08 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-10-08 2019-11-08 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-10-08 2019-11-08 N

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