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Deficiency Records for Kpc Promise Skilled Nursing Facility of Overland

A list of the most recent deficiencies for Kpc Promise Skilled Nursing Facility of Overland. 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 Kpc Promise Skilled Nursing Facility of Overland. 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?
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. Fire Safety 2023-11-08 2023-12-05 N
Address patient/client population and determine types of services needed. Fire Safety 2023-11-08 2023-11-29 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2023-11-08 2023-11-29 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2023-11-08 2023-11-29 N
Provide family notifications of emergency plan. Fire Safety 2023-11-08 2023-11-29 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-11-08 2023-11-29 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-11-08 2023-11-29 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 2023-11-08 2023-11-29 N
Provide properly protected cooking facilities. Fire Safety 2023-11-08 2023-11-29 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-08 2023-11-29 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-11-08 2023-11-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-08 2023-11-29 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-11-08 2023-11-29 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-11-08 2023-11-29 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-11-08 2023-11-29 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-11-08 2023-11-29 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-11-08 2023-11-29 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-11-08 2023-11-29 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-11-08 2023-11-29 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-11-08 2023-11-29 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-11-08 2023-11-29 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-11-08 2023-11-29 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2023-09-27 2023-10-09 N
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 2023-09-27 2023-10-09 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 2023-09-27 2023-10-09 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 2023-09-27 2023-10-09 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-09-27 2023-10-09 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 2023-09-27 2023-10-09 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-09-27 2023-10-09 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-03-10 2022-04-09 N
Create arrangements with other facilities to receive patients. Fire Safety 2022-03-10 2022-04-09 N
Establish emergency prep training and testing. Fire Safety 2022-03-10 2022-04-09 N
Establish staff and initial training requirements. Fire Safety 2022-03-10 2022-04-09 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 2022-03-10 2022-04-09 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-03-10 2022-04-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-03-10 2022-04-09 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-03-10 2022-04-09 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-03-10 2022-04-09 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-03-10 2022-04-09 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-03-10 2022-04-09 N
Provide a written emergency evacuation plan. Fire Safety 2022-03-10 2022-04-09 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-03-10 2022-04-09 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-03-10 2022-04-09 N
Have proper medical gas storage and administration areas. Fire Safety 2022-03-10 2022-04-09 N
Provide properly protected cooking facilities. Fire Safety 2022-03-10 2022-03-10 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-02-07 2022-03-02 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-02-07 2022-03-02 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-02-07 2022-03-02 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-07 2022-03-02 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-02-07 2022-03-02 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-07 2022-03-02 Y
Provide and implement an infection prevention and control program. Health 2022-02-07 2022-03-02 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-10-06 2021-10-20 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2020-01-22 2020-02-14 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2020-01-22 2020-02-14 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 2020-01-22 2020-02-14 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2019-12-03 2020-01-21 N
Create arrangements with other facilities to receive patients. Fire Safety 2019-12-03 2020-01-21 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-12-03 2020-01-21 N
Install proper backup exit lighting. Fire Safety 2019-12-03 2020-01-21 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-12-03 2020-01-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-12-03 2020-01-21 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-12-03 2020-01-21 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-12-03 2020-01-21 N
Provide a written emergency evacuation plan. Fire Safety 2019-12-03 2020-01-21 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-12-03 2020-01-21 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-12-03 2020-01-21 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-12-03 2020-01-21 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-12-03 2020-01-21 N

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