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Deficiency Records for Flint Hills Care and Rehabilitation Center
A list of the most recent deficiencies for Flint Hills Care 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 Flint Hills Care 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? |
|---|---|---|---|---|
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-06-25 | 2024-07-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-25 | 2024-07-12 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-02-27 | 2024-03-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-27 | 2024-03-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-27 | 2024-03-11 | 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 | 2024-02-27 | 2024-03-11 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-21 | 2023-10-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-09-21 | 2023-10-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-09-21 | 2023-10-20 | 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 | 2023-09-21 | 2023-10-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-09-21 | 2023-10-20 | 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 | 2023-09-21 | 2023-10-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-21 | 2023-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-21 | 2023-10-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-21 | 2023-10-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-21 | 2023-10-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-21 | 2023-10-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-21 | 2023-10-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-21 | 2023-10-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-17 | 2023-09-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-17 | 2023-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-09-05 | 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 | 2023-08-17 | 2023-09-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-17 | 2023-09-05 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-08-17 | 2023-09-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-09-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-17 | 2023-09-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-07 | 2023-08-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-16 | 2023-03-03 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-05 | 2022-02-03 | 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 | 2022-01-05 | 2022-02-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-01-05 | 2022-02-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-01-05 | 2022-02-03 | 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 | 2022-01-05 | 2022-02-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-05 | 2022-02-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-05 | 2022-02-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-01-05 | 2022-02-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-05 | 2022-02-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-05 | 2022-02-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-05 | 2022-01-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-05 | 2022-01-05 | 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 | 2021-12-02 | 2021-12-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-02 | 2021-12-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-02 | 2021-12-31 | N |
| Post nurse staffing information every day. | Health | 2021-12-02 | 2021-12-31 | 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 | 2021-12-02 | 2021-12-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-12-02 | 2021-12-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-02 | 2021-12-31 | 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 | 2020-02-19 | 2020-03-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-19 | 2020-03-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-19 | 2020-03-06 | 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 | 2020-02-19 | 2020-03-06 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2020-02-19 | 2020-03-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-08 | 2020-02-06 | N |
| Use approved construction type or materials. | Fire Safety | 2020-01-08 | 2020-02-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-08 | 2020-02-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-08 | 2020-02-06 | 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 | 2020-01-08 | 2020-02-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-08 | 2020-02-06 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2020-01-08 | 2020-02-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-08 | 2020-02-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-08 | 2020-02-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-01-08 | 2020-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-08 | 2020-02-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-08 | 2020-02-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-08 | 2020-02-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-08 | 2020-02-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-01-08 | 2020-02-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-08 | 2020-02-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-08 | 2020-02-06 | N |
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