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Deficiency Records for Rehab of Kansas City South

A list of the most recent deficiencies for Rehab of Kansas City South. 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 Rehab of Kansas City South. 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-01-19 2024-03-01 Y
Establish an Emergency Preparedness Program (EP). Fire Safety 2024-01-19 2024-03-01 Y
Meet other general requirements that are deficient. Fire Safety 2024-01-19 2024-03-01 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-10-04 2023-11-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-10-04 2023-11-17 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-09-01 2023-09-01 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-03-03 2023-04-14 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 2023-03-03 2023-04-14 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 2023-03-03 2023-04-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-03 2023-04-14 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 2023-03-03 2023-04-14 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-03-03 2023-04-14 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-03-03 2023-04-14 N
Post nurse staffing information every day. Health 2023-03-03 2023-04-14 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 2023-03-03 2023-04-14 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 2023-03-03 2023-04-14 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 2023-03-03 2023-04-14 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-03-03 2023-04-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-03 2023-04-14 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2023-03-03 2023-04-14 N
Dispose of garbage and refuse properly. Health 2023-03-03 2023-04-14 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-03-03 2023-04-14 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-03 2023-04-14 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-03-03 2023-04-14 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-03-03 2023-04-14 Y
Provide and implement an infection prevention and control program. Health 2023-03-03 2023-04-14 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-03-03 2023-04-14 N
Address patient/client population and determine types of services needed. Fire Safety 2023-03-03 2023-04-14 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2023-03-03 2023-04-14 N
Address subsistence needs for staff and patients. Fire Safety 2023-03-03 2023-04-14 N
Establish policies and procedures including evacuation. Fire Safety 2023-03-03 2023-04-14 N
Establish policies and procedures for sheltering. Fire Safety 2023-03-03 2023-04-14 N
Create arrangements with other facilities to receive patients. Fire Safety 2023-03-03 2023-04-14 N
List the names and contact information of those in the facility. Fire Safety 2023-03-03 2023-04-14 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-03-03 2023-04-14 N
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. Fire Safety 2023-03-03 2023-04-14 N
Have exits that are accessible at all times. Fire Safety 2023-03-03 2023-04-14 N
Meet other general requirements that are deficient. Fire Safety 2023-03-03 2023-04-14 N
Provide properly protected cooking facilities. Fire Safety 2023-03-03 2023-04-14 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-03-03 2023-04-14 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-03-03 2023-04-14 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-03-03 2023-04-14 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-03-03 2023-04-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-03-03 2023-04-14 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-03-03 2023-04-14 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-03-03 2023-04-14 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-03-03 2023-04-14 N
Have proper medical gas storage and administration areas. Fire Safety 2023-03-03 2023-04-14 N
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2023-01-03 2023-01-17 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-11-14 2022-12-14 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-12-06 2022-12-06 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-09-20 2022-10-24 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-20 2022-10-24 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-07-28 2022-10-24 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-28 2022-10-24 Y
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 2022-06-15 2022-08-23 Y
Address subsistence needs for staff and patients. Fire Safety 2022-06-15 2022-08-23 Y
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2022-04-19 2022-05-19 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-04-19 2022-05-19 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2022-04-19 2022-05-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-19 2022-05-19 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-10-21 2021-11-12 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-10-21 2021-11-12 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-04-27 2021-06-02 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-04-27 2021-06-02 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 2021-04-27 2021-06-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-04-27 2021-06-02 N
Keep all essential equipment working safely. Health 2021-04-27 2021-06-02 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-04-27 2021-06-02 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-04-27 2021-06-02 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-04-27 2021-06-02 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-06-14 2019-07-29 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 2019-06-14 2019-07-29 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-06-14 2019-07-29 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-06-14 2019-07-29 N
Provide activities to meet all resident's needs. Health 2019-06-14 2019-07-29 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-06-14 2019-07-29 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-06-14 2019-07-29 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-06-14 2019-07-29 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2019-06-14 2019-07-29 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2019-06-14 2019-07-29 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2019-06-14 2019-07-29 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2019-06-14 2019-07-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-06-14 2019-07-29 N
Dispose of garbage and refuse properly. Health 2019-06-14 2019-07-29 N
Provide and implement an infection prevention and control program. Health 2019-06-14 2019-07-29 N
Have enough outside ventilation via a window or mechanical ventilation, or both. Health 2019-06-14 2019-07-29 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2019-06-14 2019-07-29 N
Use approved construction type or materials. Fire Safety 2019-06-14 2019-07-29 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-06-14 2019-07-29 N
Have exits that are accessible at all times. Fire Safety 2019-06-14 2019-07-29 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-06-14 2019-07-29 N
Meet other general requirements that are deficient. Fire Safety 2019-06-14 2019-07-29 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 2019-06-14 2019-07-29 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-06-14 2019-07-29 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-06-14 2019-07-29 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-06-14 2019-07-29 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2019-06-14 2019-07-29 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-06-14 2019-07-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-03 Not Fixed N

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