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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? |
|---|---|---|---|---|
| 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 for flu and pneumonia vaccinations. | Health | 2021-11-30 | 2021-12-01 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-30 | 2021-12-01 | N |
| 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 | 2021-11-04 | 2021-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-07 | 2021-10-22 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2019-08-07 | 2019-09-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-07 | 2019-09-20 | 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 | 2019-06-26 | 2019-08-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-26 | 2019-08-01 | N |
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