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Deficiency Records for The Wybe and Marietje Kroontje Health Care Center

A list of the most recent deficiencies for The Wybe and Marietje Kroontje Health Care 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 The Wybe and Marietje Kroontje Health Care 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?
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-02-02 2024-02-23 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-05-16 2022-10-03 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-05-16 2022-10-03 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-05-16 2022-10-03 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-05-16 2022-10-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-05-16 2022-10-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-05-16 2022-10-03 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-05-16 2022-10-03 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-05-16 2022-10-03 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-05-16 2022-10-03 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-05-16 2022-10-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-04-21 2022-07-19 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 2022-04-21 2022-07-19 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-04-21 2022-07-19 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-04-21 2022-07-19 Y
Use approved construction type or materials. Fire Safety 2022-05-16 2022-07-15 N
Provide properly protected cooking facilities. Fire Safety 2022-05-16 2022-07-15 N
Have proper medical gas storage and administration areas. Fire Safety 2022-05-16 2022-07-15 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-02-07 2019-03-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-02-07 2019-03-28 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2019-02-07 2019-03-28 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 2019-02-07 2019-03-28 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 2019-02-07 2019-03-28 N
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Health 2019-02-07 2019-03-28 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-02-07 2019-03-28 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2019-02-07 2019-03-28 N

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