Deficiency Records for Ketchikan Med Ctr New Horizons Transitional Care
Updated as of March 01, 2024
A list of the most recent deficiencies for Ketchikan Med Ctr New Horizons 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-05 | 2023-01-19 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2022-12-05 | 2023-01-19 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-12-05 | 2023-01-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-12-05 | 2023-01-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-05 | 2023-01-19 | 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 | 2022-12-05 | 2023-01-19 | 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 | 2022-12-05 | 2023-01-19 | N |
| Provide or obtain dental services for each resident. | Health | 2022-12-05 | 2023-01-19 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-12-05 | 2023-01-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-05 | 2023-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-05 | 2023-01-19 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2022-12-05 | 2023-01-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-05 | 2023-01-19 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-12-01 | 2023-01-15 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-12-01 | 2023-01-15 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-12-01 | 2023-01-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-01 | 2023-01-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-01 | 2023-01-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-12-01 | 2023-01-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-01 | 2023-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-01 | 2023-01-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-01 | 2023-01-15 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2022-12-01 | 2023-01-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-01 | 2023-01-15 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-12-01 | 2023-01-15 | 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 | 2021-11-19 | 2022-01-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-19 | 2022-01-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-19 | 2022-01-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-11-19 | 2022-01-13 | 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 | 2021-11-19 | 2022-01-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-19 | 2022-01-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-19 | 2022-01-13 | N |
| Keep all essential equipment working safely. | Health | 2021-11-19 | 2022-01-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-11-19 | 2022-01-03 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-11-19 | 2022-01-03 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-11-19 | 2022-01-03 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-11-19 | 2022-01-03 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2021-11-19 | 2022-01-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-11-19 | 2022-01-03 | 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 | 2021-11-19 | 2022-01-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-19 | 2022-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-19 | 2022-01-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-19 | 2022-01-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-19 | 2022-01-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-19 | 2022-01-03 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-08-23 | 2019-11-18 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-08-23 | 2019-10-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-23 | 2019-10-09 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2019-08-23 | 2019-10-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-23 | 2019-10-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-08-23 | 2019-10-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-23 | 2019-10-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-23 | 2019-10-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-23 | 2019-10-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-23 | 2019-10-07 | 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 | 2019-08-23 | 2019-10-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-23 | 2019-10-07 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-23 | 2019-10-07 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-08-23 | 2019-10-07 | 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 | 2019-08-23 | 2019-10-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-23 | 2019-10-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-23 | 2019-10-07 | N |
| Provide appropriate foot care. | Health | 2019-08-23 | 2019-10-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-23 | 2019-10-07 | 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 | 2019-08-23 | 2019-10-07 | 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 | 2019-08-23 | 2019-10-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-23 | 2019-10-07 | N |
| 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 | 2019-08-23 | 2019-10-07 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-08-23 | 2019-10-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-23 | 2019-10-07 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-08-23 | 2019-10-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-08-23 | 2019-10-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-08-23 | 2019-10-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-08-23 | 2019-10-07 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-08-23 | 2019-10-07 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-08-23 | 2019-10-07 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-08-23 | 2019-10-07 | N |
| Develop a communication plan. | Fire Safety | 2019-08-23 | 2019-10-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-08-23 | 2019-10-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-08-23 | 2019-10-07 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-08-23 | 2019-10-07 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2019-08-23 | 2019-10-07 | N |
