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Deficiency Records for Keystone Center
A list of the most recent deficiencies for Keystone 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 Keystone 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2024-10-03 | 2024-11-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-03 | 2024-11-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-10-03 | 2024-11-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-10-03 | 2024-11-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-10-03 | 2024-11-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-10-03 | 2024-11-13 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2024-10-03 | 2024-11-13 | 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 | 2024-10-03 | 2024-11-13 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-10-03 | 2024-11-13 | N |
| Provide hallway or ground-level exits in all residents' rooms. | Fire Safety | 2024-10-03 | 2024-11-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-03 | 2024-11-13 | 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 | 2024-10-03 | 2024-11-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-03 | 2024-11-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-03 | 2024-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-03 | 2024-11-13 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-10-03 | 2024-11-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-03 | 2024-11-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-03 | 2024-11-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-10-03 | 2024-11-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-10-03 | 2024-11-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-03 | 2024-11-13 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-09-12 | 2024-10-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-12 | 2024-10-11 | 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 | 2024-09-12 | 2024-10-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-12 | 2024-10-11 | N |
| Provide activities to meet all resident's needs. | Health | 2024-09-12 | 2024-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-12 | 2024-10-11 | 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 | 2024-09-12 | 2024-10-11 | 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 | 2024-09-12 | 2024-10-11 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-09-12 | 2024-10-11 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-09-12 | 2024-10-11 | 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 | 2024-09-12 | 2024-10-11 | 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 | 2024-09-12 | 2024-10-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-12 | 2024-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-12 | 2024-10-11 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-08-29 | 2024-09-26 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-08-29 | 2024-09-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-29 | 2024-09-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-29 | 2024-09-26 | Y |
| 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 | 2024-08-29 | 2024-09-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-02 | 2024-07-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-02 | 2024-07-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-14 | 2024-03-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-14 | 2024-03-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-27 | 2023-07-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-27 | 2023-07-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-27 | 2023-07-18 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-06-27 | 2023-07-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-27 | 2023-07-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-27 | 2023-07-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-27 | 2023-07-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-27 | 2023-07-18 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-06-27 | 2023-07-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-06-27 | 2023-07-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-27 | 2023-07-18 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-06-27 | 2023-07-18 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-06-27 | 2023-07-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-07-05 | 2023-07-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-05 | 2023-07-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-05 | 2023-07-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-23 | 2023-06-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-23 | 2023-06-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-31 | 2022-10-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-11 | 2022-09-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-07 | 2021-11-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-07 | 2021-11-15 | 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 | 2021-10-07 | 2021-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-07 | 2021-11-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-10-07 | 2021-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-07 | 2021-11-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-07 | 2021-11-15 | 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 | 2021-10-07 | 2021-11-15 | N |
| Provide or obtain dental services for each resident. | Health | 2021-10-07 | 2021-11-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-10-18 | 2021-11-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-18 | 2021-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-18 | 2021-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-18 | 2021-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-07 | 2021-10-22 | N |
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