Deficiency Records for Ketchikan Med Ctr New Horizons Transitional Care
Updated as of September 01, 2020
This is not the most recent data for Ketchikan Med Ctr New Horizons Transitional Care. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-11 | 2019-12-06 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-08-23 | 2019-11-18 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | 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 |
| 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 |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-08-23 | 2019-10-07 | 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 | 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 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 |
| 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 |
| 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 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-23 | 2019-10-07 | Y |
| 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 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-06-10 | 2019-07-08 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2019-10-11 | 2019-03-14 | Y |
| 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 | 2018-08-03 | 2018-09-17 | 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 | 2018-08-03 | 2018-09-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-03 | 2018-09-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-03 | 2018-09-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-03 | 2018-09-17 | 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 | 2018-08-03 | 2018-09-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-03 | 2018-09-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-03 | 2018-09-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-03 | 2018-09-17 | N |
| Keep all essential equipment working safely. | Health | 2018-08-03 | 2018-09-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-31 | 2018-09-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-31 | 2018-09-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-07-31 | 2018-09-14 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-05-19 | 2017-07-06 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-05-19 | 2017-07-05 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-19 | 2017-07-03 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-05-19 | 2017-07-03 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-05-19 | 2017-07-03 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-19 | 2017-07-03 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-05-19 | 2017-07-03 | N |
| Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2017-05-19 | 2017-07-03 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-19 | 2017-07-03 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-05-18 | 2017-06-30 | 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 | 2017-05-18 | 2017-06-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-05-18 | 2017-06-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-18 | 2017-06-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-05-18 | 2017-06-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-05-18 | 2017-06-09 | N |
