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Deficiency Records for Kingston Court Skilled Nursing and Rehabilitation
A list of the most recent deficiencies for Kingston Court Skilled Nursing and Rehabilitation. 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 Kingston Court Skilled Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-05 | 2024-03-19 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-02-02 | 2024-03-05 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-02-02 | 2024-03-05 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-02-02 | 2024-03-05 | 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 | 2024-01-19 | 2024-03-05 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-10-19 | 2023-11-28 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-10-19 | 2023-11-28 | 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 | 2023-10-19 | 2023-11-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-19 | 2023-11-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-19 | 2023-11-28 | 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 | 2023-10-19 | 2023-11-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-19 | 2023-11-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-19 | 2023-11-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-19 | 2023-11-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-11-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-19 | 2023-11-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-19 | 2023-11-28 | 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 | 2023-10-19 | 2023-11-28 | 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 | 2023-10-19 | 2023-11-28 | 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 | 2023-10-19 | 2023-11-28 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-10-19 | 2023-11-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-19 | 2023-11-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-11-28 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-10-19 | 2023-11-28 | 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 | 2023-10-19 | 2023-11-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-19 | 2023-11-28 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-19 | 2023-11-28 | Y |
| Have a Compliance and Ethics Program. | Health | 2023-10-19 | 2023-11-28 | 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 | 2023-10-30 | 2023-11-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-30 | 2023-11-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-09-19 | 2023-10-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-24 | 2023-06-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-24 | 2023-06-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-24 | 2023-06-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-06 | 2023-05-02 | 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 | 2022-10-27 | 2022-12-15 | N |
| Honor the resident's right to choose his or her attending physician. | Health | 2022-10-27 | 2022-12-08 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-10-27 | 2022-12-08 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-10-27 | 2022-12-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-27 | 2022-12-08 | 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 | 2022-10-27 | 2022-12-08 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-10-27 | 2022-12-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-27 | 2022-12-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-27 | 2022-12-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-10-27 | 2022-12-08 | N |
| Respond appropriately to all alleged violations. | Health | 2022-10-27 | 2022-12-08 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-18 | 2022-12-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-18 | 2022-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-18 | 2022-12-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-18 | 2022-12-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-18 | 2022-12-06 | N |
| Dispose of garbage and refuse properly. | Health | 2022-04-28 | 2022-05-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-27 | 2021-11-16 | Y |
| 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 | 2021-10-01 | 2021-11-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-10-01 | 2021-11-16 | 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 | 2021-10-01 | 2021-11-16 | N |
| 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 | 2021-10-01 | 2021-11-16 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-10-01 | 2021-11-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-01 | 2021-11-16 | 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 | 2021-10-01 | 2021-11-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-10-01 | 2021-11-16 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-10-01 | 2021-11-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-01 | 2021-11-16 | 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 | 2021-10-01 | 2021-11-16 | 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 | 2021-10-01 | 2021-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-01 | 2021-11-16 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-10-01 | 2021-11-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-01 | 2021-11-16 | Y |
| Meet other general requirements. | Fire Safety | 2021-09-14 | 2021-10-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-14 | 2021-10-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-14 | 2021-10-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-14 | 2021-10-19 | N |
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