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Deficiency Records for Providence Kodiak Island Med Ltc
A list of the most recent deficiencies for Providence Kodiak Island Med Ltc. 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 Providence Kodiak Island Med Ltc. 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? |
|---|---|---|---|---|
| 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 | 2024-11-22 | 2025-01-06 | 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 | 2024-11-22 | 2025-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-22 | 2025-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-22 | 2025-01-06 | N |
| Keep all essential equipment working safely. | Health | 2024-11-22 | 2025-01-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-22 | 2025-01-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-21 | 2025-01-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-11-21 | 2025-01-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-21 | 2025-01-05 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-11-03 | 2023-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-03 | 2023-12-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-03 | 2023-12-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-03 | 2023-12-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-11-03 | 2023-12-13 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-11-03 | 2023-12-13 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-11-03 | 2023-12-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-22 | 2023-12-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-09-22 | 2023-10-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-22 | 2023-10-16 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-09-22 | 2023-10-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-22 | 2023-10-16 | N |
| Post nurse staffing information every day. | Health | 2023-09-22 | 2023-10-16 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-09-22 | 2023-10-16 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-09-22 | 2023-10-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-09-22 | 2023-10-16 | 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 | 2022-06-09 | 2022-07-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-13 | 2022-07-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-09 | 2022-07-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-13 | 2022-07-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-13 | 2022-07-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-06-09 | 2022-07-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-13 | 2022-07-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-09 | 2022-07-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-06-13 | 2022-07-08 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-06-13 | 2022-07-08 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-06-13 | 2022-07-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-13 | 2022-07-06 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-06-09 | 2022-07-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-09 | 2022-06-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-09 | 2022-06-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-13 | 2022-06-26 | N |
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