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Deficiency Records for Kittanning Health and Rehab Center
A list of the most recent deficiencies for Kittanning Health and Rehab 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 Kittanning Health and Rehab 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-16 | 2024-10-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-16 | 2024-10-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-16 | 2024-10-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-16 | 2024-10-07 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-09-16 | 2024-10-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-16 | 2024-10-07 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-09-16 | 2024-10-07 | Y |
| Report COVID19 data to residents and families. | Health | 2024-09-16 | 2024-10-07 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-09-16 | 2024-10-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-17 | 2024-08-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-17 | 2024-08-12 | 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 | 2024-07-17 | 2024-08-12 | Y |
| 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 | 2024-07-17 | 2024-08-12 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-29 | 2024-05-05 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-02-29 | 2024-05-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-29 | 2024-03-15 | N |
| Meet other general requirements. | Fire Safety | 2024-02-29 | 2024-03-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-29 | 2024-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-29 | 2024-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-29 | 2024-03-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-29 | 2024-03-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-29 | 2024-03-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-02-29 | 2024-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-29 | 2024-03-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-08 | 2024-03-07 | 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 | 2024-02-08 | 2024-03-07 | N |
| Provide activities to meet all resident's needs. | Health | 2024-02-08 | 2024-03-07 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-02-08 | 2024-03-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-08 | 2024-03-07 | N |
| 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 | 2024-02-08 | 2024-03-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-08 | 2024-03-07 | 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 | 2024-02-08 | 2024-03-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-08 | 2024-03-07 | 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 | 2024-02-08 | 2024-03-07 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-02-08 | 2024-03-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-02-08 | 2024-03-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-02-08 | 2024-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-08 | 2024-03-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-02-08 | 2024-03-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-05 | 2024-01-02 | 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 | 2023-06-22 | 2023-06-30 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-01-23 | 2023-03-07 | N |
| Use approved construction type or materials. | Fire Safety | 2023-01-23 | 2023-03-07 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-01-23 | 2023-03-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-23 | 2023-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-23 | 2023-03-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-23 | 2023-03-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-01-20 | 2023-02-21 | 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 | 2023-01-20 | 2023-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-20 | 2023-02-21 | N |
| Provide activities to meet all resident's needs. | Health | 2023-01-20 | 2023-02-21 | 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 | 2023-01-20 | 2023-02-21 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-01-20 | 2023-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-15 | 2022-12-21 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-23 | 2022-04-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-03-23 | 2022-04-12 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-03-23 | 2022-04-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-23 | 2022-04-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-11 | 2022-03-15 | N |
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