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Deficiency Records for Kensington Care and Rehab Center
A list of the most recent deficiencies for Kensington Care 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 Kensington Care 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2024-02-27 | 2024-08-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-22 | 2024-03-15 | 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 | 2024-02-22 | 2024-03-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-22 | 2024-03-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-22 | 2024-03-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-22 | 2024-03-15 | 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 | 2024-02-22 | 2024-03-15 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-02-22 | 2024-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-22 | 2024-03-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-02-22 | 2024-03-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-22 | 2024-03-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-22 | 2024-03-15 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-02-27 | 2024-03-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-27 | 2024-03-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-27 | 2024-03-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-27 | 2024-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-27 | 2024-02-28 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-01-30 | 2024-02-13 | Y |
| Provide training in compliance and ethics. | Health | 2024-01-30 | 2024-02-13 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-01-30 | 2024-02-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-30 | 2024-01-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-30 | 2024-01-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-06 | 2023-10-17 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-06 | 2023-10-17 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2022-11-08 | 2023-01-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-11-08 | 2023-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-10 | 2022-12-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-10 | 2022-12-02 | 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 | 2022-11-10 | 2022-12-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-10 | 2022-12-02 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-11-10 | 2022-12-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-10 | 2022-12-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-10 | 2022-12-02 | 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 | 2022-11-10 | 2022-12-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-10 | 2022-12-02 | 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 | 2022-11-10 | 2022-12-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-08 | 2022-12-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-08 | 2022-12-02 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-11-08 | 2022-12-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-10 | 2022-12-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-11-08 | 2022-12-01 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-11-10 | 2022-11-30 | 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 | 2022-11-08 | 2022-11-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-08 | 2022-11-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-06 | 2022-10-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-06 | 2022-10-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-06 | 2022-10-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-23 | 2021-12-17 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-13 | 2021-09-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-19 | 2021-08-13 | 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 | 2021-07-19 | 2021-08-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-19 | 2021-08-10 | N |
| Respond appropriately to all alleged violations. | Health | 2021-07-19 | 2021-08-10 | 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 | 2021-07-19 | 2021-08-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-19 | 2021-08-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-19 | 2021-08-10 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-07-19 | 2021-08-10 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-07-19 | 2021-08-10 | 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 | 2021-07-19 | 2021-08-10 | 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 | 2021-07-19 | 2021-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-19 | 2021-08-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-13 | 2021-08-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-07-13 | 2021-08-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-07-13 | 2021-08-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-13 | 2021-08-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-13 | 2021-08-10 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-07-13 | 2021-08-10 | N |
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