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Deficiency Records for Kalispell Rehabilitation and Nursing LLC
A list of the most recent deficiencies for Kalispell Rehabilitation and Nursing LLC. 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 Kalispell Rehabilitation and Nursing LLC. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-28 | 2024-09-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-28 | 2024-09-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-28 | 2024-09-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-28 | 2024-09-27 | Y |
| 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 | 2024-08-28 | 2024-09-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-28 | 2024-09-27 | 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 | 2024-06-05 | 2024-07-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-05 | 2024-07-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-05 | 2024-07-03 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-06-05 | 2024-07-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-05 | 2024-07-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-31 | 2024-02-19 | Y |
| 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 | 2024-01-31 | 2024-02-19 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-12-27 | 2024-02-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-27 | 2024-02-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-27 | 2024-02-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-27 | 2024-02-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-12-27 | 2024-02-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-27 | 2024-02-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-27 | 2024-02-01 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-12-27 | 2024-02-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-27 | 2024-02-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-31 | 2024-01-29 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-12-21 | 2024-01-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-21 | 2024-01-29 | 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 | 2023-12-21 | 2024-01-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-12-21 | 2024-01-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-21 | 2024-01-29 | 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 | 2023-12-21 | 2024-01-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-21 | 2024-01-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-21 | 2024-01-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-01-29 | 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 | 2023-12-21 | 2024-01-29 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-12-21 | 2024-01-29 | N |
| Provide or obtain dental services for each resident. | Health | 2023-12-21 | 2024-01-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-21 | 2024-01-29 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-12-21 | 2024-01-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-01-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-27 | 2024-01-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-27 | 2024-01-29 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-10-12 | 2023-11-03 | Y |
| 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 | 2023-10-12 | 2023-11-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-12 | 2023-11-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-12 | 2023-11-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-30 | 2023-09-20 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-30 | 2023-09-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-08 | 2023-07-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-08 | 2023-07-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-08 | 2023-07-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-08 | 2023-07-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-08 | 2023-07-07 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-06-08 | 2023-07-07 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-08 | 2023-07-07 | Y |
| Post nurse staffing information every day. | Health | 2023-06-08 | 2023-07-07 | Y |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2022-12-28 | 2023-02-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-28 | 2023-01-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-28 | 2023-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-28 | 2023-01-20 | 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 | 2022-12-22 | 2023-01-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-12-22 | 2023-01-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-22 | 2023-01-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-22 | 2023-01-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-22 | 2023-01-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-22 | 2023-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-22 | 2023-01-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-22 | 2023-01-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-21 | 2022-02-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-21 | 2022-02-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-12-21 | 2022-02-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-21 | 2022-02-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-21 | 2022-01-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-27 | 2022-01-20 | 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 | 2021-12-27 | 2022-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-27 | 2022-01-20 | N |
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