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Deficiency Records for Kendall House Wellness and Rehabilitation

A list of the most recent deficiencies for Kendall House Wellness and Rehabilitation. 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 Kendall House Wellness and Rehabilitation. 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?
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-09-07 2023-10-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-18 2023-10-05 Y
Provide and implement an infection prevention and control program. Health 2023-08-18 2023-10-05 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-09-08 2023-09-11 N
Ensure each resident receives an accurate assessment. Health 2023-09-08 2023-09-11 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-09-08 2023-09-11 N
Observe each nurse aide's job performance and give regular training. Health 2023-09-08 2023-09-11 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-09-08 2023-09-11 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 2023-09-08 2023-09-11 N
Provide and implement an infection prevention and control program. Health 2023-09-08 2023-09-11 N
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2023-09-08 2023-09-11 N
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Health 2023-09-08 2023-09-11 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-07-15 2022-08-04 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-07-15 2022-07-18 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2022-07-15 2022-07-18 N
Post nurse staffing information every day. Health 2022-07-15 2022-07-18 N
Ensure medication error rates are not 5 percent or greater. Health 2022-07-15 2022-07-18 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 2022-07-15 2022-07-18 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2021-04-20 2021-05-13 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2021-04-22 2021-05-12 N
Post nurse staffing information every day. Health 2021-04-22 2021-05-12 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 2021-04-22 2021-05-12 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2021-04-22 2021-05-12 N
Implement a program that monitors antibiotic use. Health 2021-04-22 2021-05-12 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2021-04-20 2021-04-23 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-04-20 2021-04-21 N

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