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Deficiency Records for Medicalodges Fort Scott
A list of the most recent deficiencies for Medicalodges Fort Scott. 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 Fort Scott. 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 all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-15 | 2024-09-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-15 | 2024-09-14 | 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 | 2024-05-08 | 2024-06-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-08 | 2024-06-24 | 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 | 2024-05-08 | 2024-06-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-08 | 2024-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-08 | 2024-06-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-05-08 | 2024-06-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-08 | 2024-06-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-08 | 2024-06-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-08 | 2024-06-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-08 | 2024-06-24 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2024-04-03 | 2024-05-08 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-04-03 | 2024-05-08 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-04-03 | 2024-05-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-04-03 | 2024-05-08 | N |
| 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 | 2024-04-03 | 2024-05-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-03 | 2024-05-08 | 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 | 2024-04-03 | 2024-05-08 | 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 | 2024-04-03 | 2024-05-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-04-03 | 2024-05-08 | N |
| Provide activities to meet all resident's needs. | Health | 2024-04-03 | 2024-05-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-03 | 2024-05-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-03 | 2024-05-08 | 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 | 2024-04-03 | 2024-05-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-03 | 2024-05-08 | 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 | 2024-04-03 | 2024-05-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-03 | 2024-05-08 | 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 | 2024-04-03 | 2024-05-08 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-04-03 | 2024-05-08 | 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 | 2024-04-03 | 2024-05-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-04-03 | 2024-05-08 | N |
| Post nurse staffing information every day. | Health | 2024-04-03 | 2024-05-08 | 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 | 2024-04-03 | 2024-05-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-03 | 2024-05-08 | 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 | 2024-04-03 | 2024-05-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-03 | 2024-05-08 | 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 | 2024-04-03 | 2024-05-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-03 | 2024-05-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-03 | 2024-05-08 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-04-03 | 2024-05-08 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-04-03 | 2024-05-08 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-04-03 | 2024-05-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-03 | 2024-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-31 | 2023-05-24 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-19 | 2022-11-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-10-19 | 2022-11-22 | 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 | 2022-10-19 | 2022-11-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-19 | 2022-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-19 | 2022-11-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-19 | 2022-11-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-19 | 2022-11-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-19 | 2022-11-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-19 | 2022-11-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-19 | 2022-11-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-19 | 2022-11-22 | 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 | 2022-09-06 | 2022-10-07 | 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 | 2022-09-06 | 2022-10-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-06 | 2022-10-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-06 | 2022-10-07 | 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 | 2022-09-06 | 2022-10-07 | 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 | 2022-09-06 | 2022-10-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-06 | 2022-10-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-09-06 | 2022-10-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-09-06 | 2022-10-07 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-09-06 | 2022-10-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-06 | 2022-10-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-06 | 2022-10-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-06 | 2022-10-07 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-20 | 2021-05-19 | 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 | 2021-04-20 | 2021-05-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-20 | 2021-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-20 | 2021-05-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-20 | 2021-05-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-20 | 2021-05-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-20 | 2021-05-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-20 | 2021-05-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-20 | 2021-05-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-02-23 | 2021-03-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-02-23 | 2021-03-18 | 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 | 2021-02-23 | 2021-03-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-23 | 2021-03-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-23 | 2021-03-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-02-23 | 2021-03-18 | 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 | 2021-02-23 | 2021-03-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-23 | 2021-03-18 | N |
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