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Deficiency Records for Bonner Springs Nursing and Rehab Center

A list of the most recent deficiencies for Bonner Springs Nursing and Rehab 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 Bonner Springs Nursing and Rehab 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-09-18 2024-10-07 Y
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 2024-07-09 2024-08-14 Y
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2024-07-09 2024-08-14 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-23 2024-01-04 Y
Provide properly protected cooking facilities. Fire Safety 2023-08-09 2023-09-18 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-09 2023-09-18 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-08-09 2023-09-18 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-09 2023-09-18 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2023-08-09 2023-09-18 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-08-09 2023-09-18 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-08-09 2023-09-18 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-09 2023-09-18 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-08-02 2023-09-15 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 2023-08-02 2023-09-15 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-08-02 2023-09-15 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-08-02 2023-09-15 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 2023-08-02 2023-09-15 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-08-02 2023-09-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-02 2023-09-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-02 2023-09-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-02 2023-09-15 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 2023-08-02 2023-09-15 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-08-02 2023-09-15 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-08-02 2023-09-15 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-08-02 2023-09-15 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 2023-08-02 2023-09-15 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-08-02 2023-09-15 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 2023-08-02 2023-09-15 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 2023-08-02 2023-09-15 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2023-08-02 2023-09-15 N
Provide and implement an infection prevention and control program. Health 2023-08-02 2023-09-15 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-02 2023-09-15 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-21 2023-09-12 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-06-01 2023-07-14 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-04-25 2022-05-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-25 2022-05-29 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-12-07 2022-02-04 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 2021-12-07 2022-02-04 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-12-07 2022-02-04 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 2021-12-07 2022-02-04 N
Provide properly protected cooking facilities. Fire Safety 2021-12-07 2022-02-04 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-12-07 2022-02-04 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-12-07 2022-02-04 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-12-07 2022-02-04 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-12-07 2022-02-04 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-12-07 2022-02-04 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-12-07 2022-02-04 N
Have proper medical gas storage and administration areas. Fire Safety 2021-12-07 2022-02-04 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-11-02 2021-12-16 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2021-11-02 2021-12-16 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 2021-11-02 2021-12-16 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 2021-11-02 2021-12-16 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-11-02 2021-12-16 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 2021-11-02 2021-12-16 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2021-11-02 2021-12-16 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-11-02 2021-12-16 N
Provide activities to meet all resident's needs. Health 2021-11-02 2021-12-16 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-11-02 2021-12-16 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-02 2021-12-16 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-11-02 2021-12-16 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 2021-11-02 2021-12-16 N
Observe each nurse aide's job performance and give regular training. Health 2021-11-02 2021-12-16 N
Post nurse staffing information every day. Health 2021-11-02 2021-12-16 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 2021-11-02 2021-12-16 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-11-02 2021-12-16 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 2021-11-02 2021-12-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-11-02 2021-12-16 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2021-11-02 2021-12-16 N
Implement a program that monitors antibiotic use. Health 2021-11-02 2021-12-16 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-11-02 2021-12-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-12-07 2021-12-07 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2019-12-03 2020-01-02 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 2019-12-03 2020-01-02 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 2019-12-03 2020-01-02 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2019-12-03 2020-01-02 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-12-03 2020-01-02 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 2019-12-03 2020-01-02 N
Provide and implement an infection prevention and control program. Health 2019-12-03 2020-01-02 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2019-12-03 2020-01-02 N
Establish emergency prep training and testing. Fire Safety 2019-10-02 2019-12-19 N
Establish staff and initial training requirements. Fire Safety 2019-10-02 2019-12-19 N
Conduct testing and exercise requirements. Fire Safety 2019-10-02 2019-12-19 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-10-02 2019-12-19 N
Provide a written emergency evacuation plan. Fire Safety 2019-10-02 2019-12-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-10-02 2019-12-19 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-10-02 2019-12-19 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-10-02 2019-10-02 N

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