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Deficiency Records for Awe Kualawaache Care Center

A list of the most recent deficiencies for Awe Kualawaache 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 Awe Kualawaache 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-07-30 2024-08-23 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2024-07-30 2024-08-23 Y
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 2024-07-30 2024-08-23 Y
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2024-07-30 2024-08-23 Y
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2024-07-30 2024-08-23 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-04-25 2024-05-16 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2024-04-25 2024-05-16 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 2024-04-25 2024-05-16 Y
Provide properly protected cooking facilities. Fire Safety 2024-04-29 2024-05-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-29 2024-05-16 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-04-29 2024-05-16 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-04-29 2024-05-16 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-04-29 2024-05-16 N
Ensure each resident receives an accurate assessment. Health 2023-04-27 2023-05-31 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2023-04-27 2023-05-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-27 2023-05-31 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 2023-04-27 2023-05-31 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-04-27 2023-05-31 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 2023-05-01 2023-05-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-01 2023-05-23 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-04-28 2022-06-30 N
Address subsistence needs for staff and patients. Fire Safety 2022-05-03 2022-06-15 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2022-05-03 2022-06-15 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-05-03 2022-06-15 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-05-03 2022-06-15 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2022-05-03 2022-06-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-05-03 2022-06-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-05-03 2022-06-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-05-03 2022-06-15 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-05-03 2022-06-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-05-03 2022-06-15 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-04-28 2022-05-28 Y
Respond appropriately to all alleged violations. Health 2022-04-28 2022-05-28 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-04-28 2022-05-28 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 2022-04-28 2022-05-28 N
Ensure each resident receives an accurate assessment. Health 2022-04-28 2022-05-28 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-04-28 2022-05-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-28 2022-05-28 N
Provide enough food/fluids to maintain a resident's health. Health 2022-04-28 2022-05-28 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2022-04-28 2022-05-28 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 2022-04-28 2022-05-28 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 2022-04-28 2022-05-28 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 2022-04-28 2022-05-28 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2022-04-28 2022-05-28 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-04-28 2022-05-28 N
Provide and implement an infection prevention and control program. Health 2022-04-28 2022-05-28 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 2022-04-28 2022-05-28 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-12-22 2022-01-21 Y
Respond appropriately to all alleged violations. Health 2021-12-22 2022-01-21 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 2021-12-22 2022-01-21 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2021-12-22 2022-01-21 Y

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