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Deficiency Records for Kern River Transitional Care
A list of the most recent deficiencies for Kern River Transitional Care. 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 Kern River Transitional Care. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-22 | 2024-09-17 | 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 | 2024-08-22 | 2024-09-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-22 | 2024-09-17 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-08-22 | 2024-09-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-31 | 2024-09-10 | Y |
| 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 | 2024-08-02 | 2024-08-23 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-06-28 | 2024-08-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-25 | 2024-08-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-23 | 2024-08-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-23 | 2024-08-22 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-23 | 2024-08-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-16 | 2024-08-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-09 | 2024-07-29 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-23 | 2024-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-23 | 2024-06-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-05-23 | 2024-06-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-23 | 2024-06-07 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-05-23 | 2024-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-23 | 2024-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-23 | 2024-06-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-16 | 2024-05-31 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-16 | 2024-05-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-16 | 2024-05-31 | Y |
| 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 | 2024-05-16 | 2024-05-31 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-16 | 2024-05-31 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-05-16 | 2024-05-31 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-16 | 2024-05-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-16 | 2024-05-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-16 | 2024-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-16 | 2024-05-31 | 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 | 2024-05-16 | 2024-05-31 | Y |
| 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 | 2024-05-16 | 2024-05-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-16 | 2024-05-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-16 | 2024-05-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-16 | 2024-05-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-16 | 2024-04-30 | Y |
| 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 | 2024-04-09 | 2024-04-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-17 | 2024-04-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-26 | 2024-03-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-08 | 2024-02-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-08 | 2024-02-26 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-02-08 | 2024-02-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-08 | 2024-02-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-10 | 2024-02-05 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2024-01-05 | 2024-01-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-07 | 2023-12-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-07 | 2023-12-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-07 | 2023-12-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-07 | 2023-12-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-07 | 2023-12-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-11 | 2023-07-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-11 | 2023-07-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-03 | 2023-07-17 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-06-26 | 2023-07-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-04 | 2023-05-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-28 | 2023-05-03 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-03-01 | 2023-03-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-01 | 2023-03-19 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-02-07 | 2023-03-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-29 | 2023-01-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-24 | 2022-11-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-03 | 2022-10-04 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-01 | 2022-10-01 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-08-11 | 2022-08-26 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-08-11 | 2022-08-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-11 | 2022-08-26 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-08-11 | 2022-08-26 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-08-11 | 2022-08-26 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-08-11 | 2022-08-26 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-08-11 | 2022-08-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-11 | 2022-08-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-11 | 2022-08-26 | Y |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-08-11 | 2022-08-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-18 | 2022-08-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-19 | 2022-07-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-12 | 2022-07-22 | Y |
| 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 | 2022-07-12 | 2022-07-22 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-07-06 | 2022-07-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-12 | 2022-04-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-28 | 2022-04-12 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2022-02-24 | 2022-03-22 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-02-24 | 2022-03-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-31 | 2022-02-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-05 | 2021-11-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-04 | 2021-10-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-04 | 2021-10-18 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-05-13 | 2021-06-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-13 | 2021-06-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-13 | 2021-06-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-13 | 2021-06-11 | 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 | 2021-05-13 | 2021-06-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-13 | 2021-06-11 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-05-13 | 2021-06-11 | 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 | 2021-05-13 | 2021-06-11 | 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 | 2021-05-13 | 2021-06-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-13 | 2021-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-13 | 2021-06-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-17 | 2021-06-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-17 | 2021-06-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-17 | 2021-06-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-17 | 2021-06-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-17 | 2021-06-03 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-05-17 | 2021-06-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-17 | 2021-06-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-17 | 2021-06-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-02-19 | 2020-05-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-19 | 2020-05-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-19 | 2020-05-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-19 | 2020-05-08 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-02-19 | 2020-05-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-19 | 2020-05-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-19 | 2020-05-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-19 | 2020-05-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-19 | 2020-05-08 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2020-02-19 | 2020-05-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-19 | 2020-05-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-06 | 2020-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-06 | 2020-04-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-06 | 2020-04-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-06 | 2020-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-06 | 2020-04-24 | N |
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