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Deficiency Records for Johnson County Care Center
A list of the most recent deficiencies for Johnson County Care 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 Johnson County Care 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-26 | 2023-08-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-26 | 2023-08-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-26 | 2023-06-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-14 | 2023-03-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-19 | 2023-03-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-19 | 2023-03-04 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-01-19 | 2023-03-04 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-01-19 | 2023-03-04 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-01-19 | 2023-03-04 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-19 | 2023-03-04 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-11-17 | 2022-12-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-11-17 | 2022-12-31 | 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 | 2022-11-17 | 2022-12-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-17 | 2022-12-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-17 | 2022-12-31 | N |
| Respond appropriately to all alleged violations. | Health | 2022-11-17 | 2022-12-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-17 | 2022-12-31 | 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 | 2022-11-17 | 2022-12-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-17 | 2022-12-31 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-11-17 | 2022-12-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-17 | 2022-12-31 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-11-17 | 2022-12-31 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-11-17 | 2022-12-31 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-11-17 | 2022-12-31 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-11-17 | 2022-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-17 | 2022-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-17 | 2022-12-31 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-11-17 | 2022-12-31 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-11-17 | 2022-12-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-17 | 2022-12-31 | Y |
| 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 | 2022-11-17 | 2022-12-31 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-11-17 | 2022-12-31 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-17 | 2022-12-31 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-11-17 | 2022-12-31 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-11-17 | 2022-12-31 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-11-17 | 2022-12-31 | 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 | 2022-11-17 | 2022-12-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-11-17 | 2022-12-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-17 | 2022-12-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-17 | 2022-12-31 | N |
| Have proper openings in smoke barrier doors. | Fire Safety | 2022-11-17 | 2022-12-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-11-17 | 2022-12-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-17 | 2022-12-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-17 | 2022-12-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-17 | 2022-12-31 | 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 | 2022-05-05 | 2022-06-18 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-05 | 2022-06-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-06 | 2020-04-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-06 | 2020-04-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-06 | 2020-04-19 | 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 | 2020-03-06 | 2020-04-19 | N |
| Post nurse staffing information every day. | Health | 2020-03-06 | 2020-04-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-03-06 | 2020-04-19 | 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 | 2020-03-06 | 2020-04-19 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2020-03-06 | 2020-04-19 | 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 | 2020-03-06 | 2020-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-06 | 2020-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-06 | 2020-04-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-03-06 | 2020-04-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-03-06 | 2020-04-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-03-06 | 2020-04-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-06 | 2020-04-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-03-06 | 2020-04-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-06 | 2020-04-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-03-06 | 2020-04-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-06 | 2020-04-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-06 | 2020-04-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-06 | 2020-04-19 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2020-03-06 | 2020-04-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-17 | 2019-06-30 | 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 | 2019-05-17 | 2019-06-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-17 | 2019-06-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-17 | 2019-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-17 | 2019-06-30 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2019-05-17 | 2019-06-30 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-05-17 | 2019-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-17 | 2019-06-30 | 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 | 2019-05-17 | 2019-06-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-17 | 2019-06-30 | 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 | 2019-05-17 | 2019-06-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-05-17 | 2019-06-30 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-05-17 | 2019-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-17 | 2019-06-30 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-05-17 | 2019-06-30 | N |
| Dispose of garbage and refuse properly. | Health | 2019-05-17 | 2019-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-17 | 2019-06-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-17 | 2019-06-30 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2019-05-17 | 2019-06-30 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-05-17 | 2019-06-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-05-17 | 2019-06-30 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-05-17 | 2019-06-30 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-05-17 | 2019-06-30 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-05-17 | 2019-06-30 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-05-17 | 2019-06-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-17 | 2019-06-30 | N |
| Use approved construction type or materials. | Fire Safety | 2019-05-17 | 2019-06-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-17 | 2019-06-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-17 | 2019-06-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-05-17 | 2019-06-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-17 | 2019-06-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-05-17 | 2019-06-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-05-17 | 2019-06-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-17 | 2019-06-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-17 | 2019-06-30 | N |
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