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Deficiency Records for Kingston Rehabilitation and Nursing Center

A list of the most recent deficiencies for Kingston Rehabilitation and Nursing 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 Kingston Rehabilitation and Nursing 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-08-23 2024-09-24 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 2024-08-23 2024-09-24 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-08-23 2024-09-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-08-23 2024-09-24 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-08-23 2024-09-24 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-23 2024-09-24 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-08-23 2024-09-24 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-08-23 2024-09-24 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 2024-08-23 2024-09-24 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-08-23 2024-09-24 N
Provide and implement an infection prevention and control program. Health 2024-08-23 2024-09-24 N
Provide bedrooms that don't allow residents to see each other when privacy is needed. Health 2024-08-23 2024-09-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-08-13 2024-09-24 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-05-15 2024-06-05 Y
Respond appropriately to all alleged violations. Health 2024-05-15 2024-06-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-15 2024-06-05 Y
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 2024-05-15 2024-06-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-15 2024-06-05 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 2024-03-15 2024-06-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-03-15 2024-05-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-03-15 2024-05-15 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-03-15 2024-05-15 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-03-15 2024-05-15 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 2024-03-15 2024-05-15 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-03-15 2024-05-15 N
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Health 2024-03-15 2024-05-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-03-20 2024-04-23 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-03-20 2024-04-23 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-03-20 2024-04-23 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 2023-09-22 2023-10-31 N
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2023-09-22 2023-10-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-09-22 2023-10-31 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-09-22 2023-10-31 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 2023-09-22 2023-10-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-22 2023-10-31 N
Provide enough food/fluids to maintain a resident's health. Health 2023-09-22 2023-10-31 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 2023-09-22 2023-10-31 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-09-22 2023-10-31 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-09-22 2023-10-31 N
Provide or obtain dental services for each resident. Health 2023-09-22 2023-10-31 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2023-09-22 2023-10-31 N
Provide and implement an infection prevention and control program. Health 2023-09-22 2023-10-31 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-22 2023-10-31 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2023-09-22 2023-10-31 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 2023-09-13 2023-10-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-09-13 2023-10-03 N
Have proper medical gas storage and administration areas. Fire Safety 2023-09-13 2023-10-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-07-06 2023-07-31 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-06 2023-07-31 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-05-30 2023-07-06 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-05-30 2023-07-06 Y
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2023-05-30 2023-07-06 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-05-30 2023-07-06 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-30 2023-07-06 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-05-02 2023-07-06 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-03-10 2023-07-06 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 2023-05-02 2023-05-30 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-02 2023-05-30 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-02 2023-05-30 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 2023-03-10 2023-05-30 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-10 2023-05-30 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-04-04 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 2023-03-10 2023-05-02 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-10 2023-05-02 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 2023-03-10 2023-05-02 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 2023-03-10 2023-05-02 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-03-10 2023-05-02 Y
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2022-12-28 2023-01-17 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 2022-12-28 2023-01-17 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-09-09 2022-10-14 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-09-09 2022-10-14 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-06-02 2022-06-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-02 2022-06-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-02 2022-06-17 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-06-02 2022-06-17 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-06-02 2022-06-17 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-06-02 2022-06-17 Y
Report COVID19 data to residents and families. Health 2022-06-02 2022-06-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-04 2022-06-17 Y
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 2022-05-04 2022-06-02 Y
Provide and implement an infection prevention and control program. Health 2022-05-04 2022-06-02 Y
Ensure each resident receives an accurate assessment. Health 2022-02-17 2022-03-10 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-02-17 2022-03-10 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-01-20 2022-03-10 Y
Respond appropriately to all alleged violations. Health 2022-01-20 2022-03-10 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 2022-01-20 2022-03-10 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-01-20 2022-03-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-20 2022-03-10 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-01-20 2022-03-10 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 2022-01-20 2022-03-10 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2022-01-20 2022-03-10 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-01-20 2022-03-10 Y
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 2022-01-20 2022-03-10 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-01-20 2022-03-10 Y
Respond appropriately to all alleged violations. Health 2021-12-21 2022-03-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-12-21 2022-03-10 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-12-21 2022-03-10 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-11-30 2022-03-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-11-17 2022-03-10 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 2022-01-20 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-12-21 2022-01-20 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-12-21 2022-01-20 Y
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2021-12-21 2022-01-20 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-11-17 2022-01-20 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-11-30 2021-12-21 Y
Provide enough food/fluids to maintain a resident's health. Health 2021-11-30 2021-12-21 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 2021-11-30 2021-12-21 Y
Provide or obtain dental services for each resident. Health 2021-11-30 2021-12-21 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-11-17 2021-12-21 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2021-11-17 2021-12-21 Y
Ensure that residents are free from significant medication errors. Health 2021-11-17 2021-12-21 Y
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 2021-11-17 2021-12-21 Y
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 2021-11-17 2021-12-21 Y
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2021-11-17 2021-12-21 Y
Ensure staff are vaccinated for COVID-19 Health 2022-03-04 Not Fixed Y

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