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Deficiency Records for Kendal at Lexington
A list of the most recent deficiencies for Kendal at Lexington. 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 Kendal at Lexington. 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 | 2024-04-24 | 2024-07-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-24 | 2024-07-23 | 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 | 2024-04-24 | 2024-07-23 | 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 | 2024-04-24 | 2024-07-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-24 | 2024-07-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-24 | 2024-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-24 | 2024-07-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-04-24 | 2024-06-07 | 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 | 2024-04-24 | 2024-06-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-24 | 2024-06-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-24 | 2024-06-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-24 | 2024-06-07 | 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 | 2024-04-24 | 2024-06-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-04-24 | 2024-06-07 | 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 | 2024-04-24 | 2024-06-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| Meet other general requirements. | Fire Safety | 2024-05-02 | 2024-05-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-31 | 2023-03-24 | 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 | 2023-01-31 | 2022-10-08 | 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 | 2021-11-17 | 2021-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-17 | 2021-12-20 | N |
| Post nurse staffing information every day. | Health | 2021-11-17 | 2021-12-20 | 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 | 2021-11-17 | 2021-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-17 | 2021-12-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-11 | 2019-05-21 | 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 | 2019-04-04 | 2019-05-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-04 | 2019-05-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-04 | 2019-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-04 | 2019-05-10 | N |
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