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Deficiency Records for Azria Health Olathe
A list of the most recent deficiencies for Azria Health Olathe. 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 Azria Health Olathe. 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? |
|---|---|---|---|---|
| Establish policies and procedures for volunteers. | Fire Safety | 2024-02-06 | 2024-03-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-06 | 2024-03-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-06 | 2024-03-19 | 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 | 2024-02-06 | 2024-03-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-06 | 2024-03-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-06 | 2024-03-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-06 | 2024-03-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-06 | 2024-03-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-06 | 2024-03-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-06 | 2024-03-19 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-02-06 | 2024-03-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-06 | 2024-03-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-06 | 2024-03-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-06 | 2024-03-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-23 | 2024-02-16 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-01-23 | 2024-02-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-23 | 2024-02-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-23 | 2024-02-16 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-23 | 2024-02-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-23 | 2024-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-23 | 2024-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-23 | 2024-02-16 | 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 | 2024-01-23 | 2024-02-16 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-01-23 | 2024-02-16 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-23 | 2024-02-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-23 | 2024-02-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-23 | 2024-02-16 | Y |
| Conform to length requirements for dead end corridors. | Fire Safety | 2024-02-06 | 2024-02-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-06 | 2024-02-06 | 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 | 2024-02-06 | 2024-02-06 | 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 | 2022-08-15 | 2022-09-02 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Use approved construction type or materials. | Fire Safety | 2022-06-08 | 2022-07-07 | 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 | 2022-06-08 | 2022-07-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-06-08 | 2022-07-07 | 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 | 2022-06-08 | 2022-07-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-08 | 2022-07-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-08 | 2022-07-07 | 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 | 2022-06-02 | 2022-06-17 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2022-06-02 | 2022-06-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-12 | 2022-06-08 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-12 | 2022-06-08 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-12 | 2022-06-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-12 | 2022-06-08 | 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 | 2022-05-12 | 2022-06-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-12 | 2022-06-08 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-05-12 | 2022-06-08 | 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 | 2022-05-12 | 2022-06-08 | Y |
| Provide appropriate care/assistance for a resident with a prosthesis. | Health | 2022-05-12 | 2022-06-08 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-12 | 2022-06-08 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-12 | 2022-06-08 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-05-12 | 2022-06-08 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-12 | 2022-06-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-12 | 2022-06-08 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-05-12 | 2022-04-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-12 | 2021-10-07 | 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 | 2021-02-15 | 2021-02-23 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Use approved construction type or materials. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-03-04 | 2020-04-02 | 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 | 2020-03-04 | 2020-04-02 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-03-04 | 2020-04-02 | 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 | 2020-03-04 | 2020-04-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2020-03-04 | 2020-04-02 | N |
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