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Deficiency Records for Advena Living of Cherryvale

A list of the most recent deficiencies for Advena Living of Cherryvale. 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 Advena Living of Cherryvale. 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?
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-02-05 2024-03-04 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-02-05 2024-03-04 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-02-05 2024-03-04 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2024-02-05 2024-03-04 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-05 2024-03-04 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-02-05 2024-03-04 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-02-05 2024-03-04 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-02-05 2024-03-04 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-02-05 2024-03-04 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-02-05 2024-03-04 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-01-04 2024-02-10 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 2024-01-04 2024-02-10 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 2024-01-04 2024-02-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-04 2024-02-10 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 2024-01-04 2024-02-10 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-04 2024-02-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-04 2024-02-10 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-01-04 2024-02-10 N
Provide or get specialized rehabilitative services as required for a resident. Health 2024-01-04 2024-02-10 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 2024-01-04 2024-02-10 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-08-08 2023-10-02 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-08-08 2023-10-02 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 2023-08-08 2023-09-19 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-08-08 2023-09-19 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-08-08 2023-09-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-08 2023-09-19 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-08-08 2023-09-19 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 2023-07-12 2023-08-18 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-07-12 2023-08-18 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-07-12 2023-08-18 N
Provide or get specialized rehabilitative services as required for a resident. Health 2023-07-12 2023-08-18 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-12 2023-08-18 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 2022-09-20 2022-10-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-20 2022-10-01 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-09-20 2022-10-01 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-09-20 2022-10-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-09-20 2022-10-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-09-20 2022-10-01 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-09-20 2022-10-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-09-20 2022-10-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-09-20 2022-09-20 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2022-09-20 2022-09-20 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-07-26 2022-09-01 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2022-07-26 2022-09-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-26 2022-09-01 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 2022-07-26 2022-09-01 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-07-26 2022-09-01 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 2022-07-26 2022-09-01 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-07-26 2022-09-01 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 2022-07-26 2022-09-01 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-07-26 2022-09-01 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-26 2022-09-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-26 2022-09-01 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 2022-07-26 2022-09-01 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-07-26 2022-09-01 Y
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 2022-07-26 2022-09-01 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-07-26 2022-09-01 Y
Provide and implement an infection prevention and control program. Health 2022-07-26 2022-09-01 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-07-26 2022-09-01 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-07-26 2022-09-01 Y
Provide and implement an infection prevention and control program. Health 2022-01-06 2022-02-09 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 2021-12-09 2022-01-17 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2021-12-09 2022-01-17 Y

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