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Deficiency Records for Smoky Hill Rehabilitation Center
A list of the most recent deficiencies for Smoky Hill 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 Smoky Hill 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-01-24 | 2024-03-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-24 | 2024-03-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-24 | 2024-03-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-24 | 2024-03-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-24 | 2024-01-25 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-27 | 2024-01-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-27 | 2024-01-25 | Y |
| Post nurse staffing information every day. | Health | 2023-12-27 | 2024-01-25 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-12-27 | 2024-01-25 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-12 | 2023-09-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-12 | 2023-09-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-12 | 2023-09-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-12 | 2023-09-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-12 | 2023-09-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-12 | 2023-09-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-12 | 2023-09-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-12 | 2023-09-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-17 | 2023-08-21 | 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 | 2023-08-17 | 2023-08-21 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-08-17 | 2023-08-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-17 | 2023-08-21 | 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 | 2023-08-17 | 2023-08-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-17 | 2023-08-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-17 | 2023-08-21 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-08-17 | 2023-08-21 | 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 | 2023-08-17 | 2023-08-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-17 | 2023-08-21 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-08-17 | 2023-08-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-17 | 2023-08-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-08-21 | 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 | 2023-08-17 | 2023-08-21 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-17 | 2023-08-21 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-08-17 | 2023-08-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-17 | 2023-08-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-08-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-26 | 2023-06-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-23 | 2023-06-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-27 | 2023-03-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-21 | 2023-02-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-26 | 2022-09-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-09 | 2022-06-09 | 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 | 2022-05-03 | 2022-05-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-03 | 2022-05-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-03 | 2022-05-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-03 | 2022-05-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-03 | 2022-05-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-03 | 2022-05-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-03 | 2022-05-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-28 | 2022-04-22 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-03-28 | 2022-04-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-28 | 2022-04-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-03-28 | 2022-04-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-28 | 2022-04-22 | 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 | 2022-03-28 | 2022-04-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-28 | 2022-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-28 | 2022-04-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-28 | 2022-04-22 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-03-28 | 2022-04-22 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-03-28 | 2022-04-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-28 | 2022-04-22 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-01-25 | 2022-02-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-25 | 2022-02-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-25 | 2022-02-25 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2020-08-18 | 2020-09-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-08-18 | 2020-09-10 | 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 | 2020-08-18 | 2020-09-10 | 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 | 2020-08-18 | 2020-09-10 | N |
| Provide activities to meet all resident's needs. | Health | 2020-08-18 | 2020-09-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-08-18 | 2020-09-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-08-18 | 2020-09-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-08-18 | 2020-09-10 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2020-08-18 | 2020-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-08-18 | 2020-09-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-19 | 2020-03-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-19 | 2020-03-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-19 | 2020-03-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-19 | 2020-03-20 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2020-02-19 | 2020-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-08 | Not Fixed | Y |
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