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Deficiency Records for Kadima Rehabilitation and Nursing at North Strabane
A list of the most recent deficiencies for Kadima Rehabilitation and Nursing at North Strabane. 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 Kadima Rehabilitation and Nursing at North Strabane. 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? |
|---|---|---|---|---|
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-10-07 | 2024-11-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-10-07 | 2024-11-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-10-07 | 2024-11-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-07 | 2024-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-07 | 2024-11-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-10-07 | 2024-11-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-11 | 2024-11-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-11 | 2024-11-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-10-11 | 2024-11-08 | N |
| 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 | 2024-10-11 | 2024-11-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-11 | 2024-11-08 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-03-06 | 2024-03-28 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-10 | 2023-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-10 | 2023-11-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-10 | 2023-11-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-06 | 2023-10-31 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-06-21 | 2023-07-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-02 | 2022-12-22 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-02 | 2022-12-22 | 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 | 2022-12-02 | 2022-12-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-02 | 2022-12-22 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-12-02 | 2022-12-22 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-02 | 2022-12-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-02 | 2022-12-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-02 | 2022-12-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-02 | 2022-12-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-02 | 2022-12-22 | 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 | 2022-12-02 | 2022-12-22 | 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 | 2022-12-02 | 2022-12-22 | 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 | 2022-12-02 | 2022-12-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-12-02 | 2022-12-22 | N |
| 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 | 2022-12-02 | 2022-12-22 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-12-02 | 2022-12-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-01 | 2022-12-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-01 | 2022-12-19 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-12-01 | 2022-12-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-01 | 2022-12-19 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2022-11-15 | 2022-12-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-01 | 2022-03-25 | Y |
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