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Deficiency Records for Kenwood View Healthcare and Rehabilitation Center
A list of the most recent deficiencies for Kenwood View Healthcare and 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 Kenwood View Healthcare and 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-15 | 2024-08-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-16 | 2024-05-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-12 | 2023-12-29 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-08-23 | 2023-09-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-08 | 2023-09-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-08 | 2023-09-06 | 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 | 2023-08-08 | 2023-09-06 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-05-17 | 2023-07-19 | 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 | 2023-05-17 | 2023-07-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-17 | 2023-07-19 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-05-17 | 2023-07-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-17 | 2023-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-17 | 2023-07-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-17 | 2023-07-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-17 | 2023-07-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-17 | 2023-07-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-17 | 2023-07-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-17 | 2023-07-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-17 | 2023-07-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-17 | 2023-07-19 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-05-17 | 2023-07-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-04 | 2023-06-05 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-05-04 | 2023-06-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-04 | 2023-06-05 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-05-04 | 2023-06-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-04 | 2023-06-05 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-04 | 2023-06-05 | 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 | 2023-05-04 | 2023-06-05 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-05-04 | 2023-06-05 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-05-04 | 2023-06-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-04 | 2023-06-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-04 | 2023-06-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-05-04 | 2023-06-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-05-04 | 2023-06-05 | 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 | 2023-05-04 | 2023-06-05 | 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 | 2023-05-04 | 2023-06-05 | 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 | 2023-05-04 | 2023-06-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-04 | 2023-06-05 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-05-04 | 2023-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-04 | 2023-06-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-05-04 | 2023-06-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-04 | 2023-06-05 | N |
| Keep all essential equipment working safely. | Health | 2023-05-04 | 2023-06-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-04 | 2023-06-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-04 | 2023-06-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-04 | 2023-06-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-24 | 2023-02-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-28 | 2022-12-30 | 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 | 2022-11-28 | 2022-12-30 | 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 | 2022-09-06 | 2022-10-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-06 | 2022-10-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-11 | 2022-04-11 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Meet other general requirements. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-21 | 2022-03-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-15 | 2022-01-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-15 | 2021-12-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-15 | 2021-12-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-11-15 | 2021-12-14 | 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 | 2021-11-15 | 2021-12-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-15 | 2021-12-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-15 | 2021-12-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-15 | 2021-12-14 | 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 | 2021-11-15 | 2021-12-14 | N |
| Post nurse staffing information every day. | Health | 2021-11-15 | 2021-12-14 | 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 | 2021-11-15 | 2021-12-14 | 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 | 2021-11-15 | 2021-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-15 | 2021-12-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-03-11 | 2020-04-16 | 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 | 2020-03-11 | 2020-04-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-03-11 | 2020-04-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-11 | 2020-04-16 | 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 | 2020-03-11 | 2020-04-16 | 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 | 2020-03-11 | 2020-04-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-03-11 | 2020-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-11 | 2020-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-11 | 2020-04-16 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-12-10 | 2020-01-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-12-10 | 2020-01-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-12-10 | 2020-01-13 | 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 | 2019-12-10 | 2020-01-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-10 | 2020-01-13 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-12-10 | 2020-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-10 | 2020-01-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-10 | 2020-01-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-10 | 2020-01-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-10 | 2020-01-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-10 | 2020-01-13 | N |
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