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Deficiency Records for Advena Living of Clay Center
A list of the most recent deficiencies for Advena Living of Clay 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 Advena Living of Clay 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-10 | 2023-11-08 | 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 | 2023-08-10 | 2023-09-20 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-08-10 | 2023-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-10 | 2023-09-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-10 | 2023-09-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-10 | 2023-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-10 | 2023-09-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-10 | 2023-09-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-10 | 2023-09-20 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-08-10 | 2023-09-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-19 | 2023-08-25 | 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 | 2023-07-19 | 2023-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-19 | 2023-08-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-19 | 2023-08-25 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-07-19 | 2023-08-25 | 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 | 2023-07-19 | 2023-08-25 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-07-19 | 2023-08-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-19 | 2023-08-25 | 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 | 2023-07-19 | 2023-08-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-19 | 2023-08-25 | 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 | 2023-07-19 | 2023-08-25 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-07-19 | 2023-08-25 | 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 | 2023-07-19 | 2023-08-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-19 | 2023-08-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-19 | 2023-08-25 | 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 | 2023-07-19 | 2023-08-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-15 | 2022-04-04 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-02-15 | 2022-04-04 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-02-15 | 2022-04-04 | 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 | 2022-02-15 | 2022-04-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-02-15 | 2022-04-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-19 | 2022-02-24 | 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 | 2022-01-19 | 2022-02-24 | 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 | 2022-01-19 | 2022-02-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-19 | 2022-02-24 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-01-19 | 2022-02-24 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-02-15 | 2022-02-24 | N |
| Use approved construction type or materials. | Fire Safety | 2022-02-15 | 2022-02-24 | 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 | 2022-02-15 | 2022-02-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-15 | 2022-02-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-15 | 2022-02-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-15 | 2022-02-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-15 | 2022-02-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-15 | 2022-02-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-10 | 2020-04-10 | 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 | 2020-03-10 | 2020-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-10 | 2020-04-10 | 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 | 2020-03-10 | 2020-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-10 | 2020-04-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-03-10 | 2020-04-10 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-12-17 | 2020-01-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-17 | 2020-01-16 | 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 | 2019-12-17 | 2020-01-16 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-12-17 | 2020-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-17 | 2020-01-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-17 | 2020-01-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-17 | 2020-01-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-17 | 2020-01-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-17 | 2020-01-16 | N |
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