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Deficiency Records for Kingwood Healthcare Center

A list of the most recent deficiencies for Kingwood Healthcare 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 Kingwood Healthcare 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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2023-09-19 2023-10-31 Y
Provide and implement an infection prevention and control program. Health 2023-09-19 2023-10-31 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-05-09 2023-05-31 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-05-09 2023-05-31 Y
Prepare residents for a safe transfer or discharge from the nursing home. Health 2023-05-09 2023-05-31 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-09 2023-05-31 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 2023-05-09 2023-05-31 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-12-14 2023-02-10 N
Keep residents' personal and medical records private and confidential. Health 2022-12-14 2023-02-10 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-12-14 2023-02-10 N
Respond appropriately to all alleged violations. Health 2022-12-14 2023-02-10 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-12-14 2023-02-10 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 2022-12-14 2023-02-10 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 2022-12-14 2023-02-10 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 2022-12-14 2023-02-10 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 2022-12-14 2023-02-10 N
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 2022-12-14 2023-02-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-14 2023-02-10 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-12-14 2023-02-10 N
Provide and implement an infection prevention and control program. Health 2022-12-14 2023-02-10 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2022-12-13 2023-01-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-12-13 2022-12-31 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-09-07 2022-11-10 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-09-07 2022-11-10 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2022-09-07 2022-11-10 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2021-08-25 2021-09-24 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 2021-08-25 2021-09-24 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 2021-08-25 2021-09-24 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-08-25 2021-09-24 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-08-25 2021-09-24 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-08-25 2021-09-24 N
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 2021-08-25 2021-09-24 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-08-25 2021-09-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-08-25 2021-09-24 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-08-25 2021-09-24 N
Provide and implement an infection prevention and control program. Health 2021-08-25 2021-09-24 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-08-24 2021-09-15 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-08-24 2021-09-15 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2019-03-05 2019-04-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-03-05 2019-04-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-03-05 2019-04-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-03-07 2019-04-25 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-03-07 2019-04-25 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 2019-03-07 2019-04-25 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 2019-03-07 2019-04-25 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-03-07 2019-04-25 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-03-07 2019-04-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-03-07 2019-04-25 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-03-07 2019-04-25 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 2019-03-07 2019-04-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-03-07 2019-04-25 N
Provide and implement an infection prevention and control program. Health 2019-03-07 2019-04-25 N
Keep all essential equipment working safely. Health 2019-03-07 2019-04-25 N

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