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Deficiency Records for Excel Healthcare and Rehab Wichita

A list of the most recent deficiencies for Excel Healthcare and Rehab Wichita. 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 Excel Healthcare and Rehab Wichita. 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?
Protect each resident from the wrongful use of the resident's belongings or money. Health 2024-06-24 2024-08-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-24 2024-08-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-21 2024-01-11 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-08-08 2023-09-25 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-08-08 2023-09-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-08 2023-09-25 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-08-08 2023-09-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-08 2023-09-25 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-06-29 2023-07-28 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 2023-06-29 2023-07-28 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-06-29 2023-07-28 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2023-06-29 2023-07-28 N
Keep complete, dated laboratory records in the resident's record. Health 2023-06-29 2023-07-28 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-06-29 2023-07-28 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-06-29 2023-07-28 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 2023-06-29 2023-07-28 Y
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 2023-06-29 2023-07-28 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-06-29 2023-07-28 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-06-29 2023-07-28 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-06-29 2023-07-28 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-06-29 2023-07-28 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-06-29 2023-07-28 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-06-29 2023-07-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-06-29 2023-07-28 Y
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 2023-06-29 2023-07-28 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-06-29 2023-07-28 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2023-06-29 2023-07-28 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-06-29 2023-07-28 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 2023-06-29 2023-07-28 Y
Provide and implement an infection prevention and control program. Health 2023-06-29 2023-07-28 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 2022-06-08 2022-07-08 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 2022-06-08 2022-07-08 N
Provide properly protected cooking facilities. Fire Safety 2022-06-08 2022-07-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-06-08 2022-07-08 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-06-08 2022-07-08 N
Provide a written emergency evacuation plan. Fire Safety 2022-06-08 2022-07-08 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-06-08 2022-07-08 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-06-08 2022-07-08 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-06-08 2022-06-08 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-04-21 2022-05-18 Y
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 2022-04-21 2022-05-18 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-04-21 2022-05-18 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 2022-04-21 2022-05-18 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-04-21 2022-05-18 Y
Provide and implement an infection prevention and control program. Health 2022-04-21 2022-05-18 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-04-21 2022-05-18 Y
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2022-04-21 2022-05-18 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-09-16 2021-10-16 N
Address subsistence needs for staff and patients. Fire Safety 2021-09-16 2021-10-16 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2021-09-16 2021-10-16 N
Establish policies and procedures for medical documentation. Fire Safety 2021-09-16 2021-10-16 N
Establish policies and procedures for volunteers. Fire Safety 2021-09-16 2021-10-16 N
Establish roles under a Waiver declared by secretary. Fire Safety 2021-09-16 2021-10-16 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2021-09-16 2021-10-16 N
Provide family notifications of emergency plan. Fire Safety 2021-09-16 2021-10-16 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 2021-09-16 2021-10-16 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-09-16 2021-10-16 N
Provide properly protected cooking facilities. Fire Safety 2021-09-16 2021-10-16 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2021-09-16 2021-10-16 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-09-16 2021-10-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-09-16 2021-10-16 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-09-16 2021-10-16 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-09-16 2021-10-16 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-09-16 2021-10-16 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-09-16 2021-10-16 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-09-16 2021-10-16 N
Have restrictions on the use of flammable curtains. Fire Safety 2021-09-16 2021-10-16 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-09-16 2021-10-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-09-16 2021-10-16 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-09-16 2021-09-16 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-09-16 2021-09-16 N
Keep residents' personal and medical records private and confidential. Health 2021-08-11 2021-09-11 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-08-11 2021-09-11 N
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2021-08-11 2021-09-11 N

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