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Deficiency Records for Azria Health Wichita
A list of the most recent deficiencies for Azria Health Wichita. 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 Wichita. 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? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-07 | 2024-06-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-05-07 | 2024-06-17 | 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 | 2024-05-07 | 2024-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-07 | 2024-06-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-07 | 2024-06-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-07 | 2024-06-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-07 | 2024-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-07 | 2024-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-07 | 2024-06-14 | 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 | 2024-05-07 | 2024-06-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-07 | 2024-06-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-15 | 2024-05-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-15 | 2024-05-16 | 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 | 2024-04-15 | 2024-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-15 | 2024-05-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-15 | 2024-05-16 | 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 | 2024-04-15 | 2024-05-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-15 | 2024-05-16 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-04-15 | 2024-05-16 | 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 | 2024-04-15 | 2024-05-16 | 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 | 2024-04-15 | 2024-05-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-04-15 | 2024-05-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-15 | 2024-05-16 | N |
| Dispose of garbage and refuse properly. | Health | 2024-04-15 | 2024-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-15 | 2024-05-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-05 | 2023-12-12 | 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 | 2022-08-08 | 2022-08-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-27 | 2022-07-21 | Y |
| 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 | 2022-06-27 | 2022-07-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-27 | 2022-07-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-27 | 2022-07-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-27 | 2022-07-21 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-27 | 2022-07-21 | Y |
| Post nurse staffing information every day. | Health | 2022-06-27 | 2022-07-21 | 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 | 2022-06-27 | 2022-07-21 | Y |
| 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 | 2022-06-27 | 2022-07-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-27 | 2022-07-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-27 | 2022-07-21 | Y |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2022-06-27 | 2022-07-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-04 | 2022-01-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-20 | 2021-10-16 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-09-22 | 2020-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-22 | 2020-10-29 | N |
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