Deficiency Records for Yukon Kuskokwim Elder's Home
Updated as of October 01, 2018
This is not the most recent data for Yukon Kuskokwim Elder's Home. For the most recent information, click here.
A list of the most recent deficiencies for Yukon Kuskokwim Elder's Home. 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? |
|---|---|---|---|---|
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-02-02 | 2018-05-01 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-02 | 2018-04-30 | 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 | 2018-02-02 | 2018-04-30 | N |
| Provide activities to meet all resident's needs. | Health | 2018-02-02 | 2018-04-30 | 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 | 2018-02-02 | 2018-04-30 | 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 | 2018-02-02 | 2018-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-02 | 2018-04-30 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-02-02 | 2018-04-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-02-02 | 2018-04-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-02-02 | 2018-03-19 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-02-02 | 2018-03-19 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-02-02 | 2018-03-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-02-02 | 2018-03-19 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2018-02-02 | 2018-03-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-02 | 2018-03-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-02-02 | 2018-03-19 | 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 | 2018-02-02 | 2018-03-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-02-02 | 2018-03-19 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2018-02-02 | 2018-03-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-02-02 | 2018-03-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-02 | 2018-03-19 | 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 | 2018-02-02 | 2018-03-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-02 | 2018-03-19 | 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 | 2018-02-02 | 2018-03-19 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-02-02 | 2018-03-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-02-02 | 2018-03-19 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2018-02-02 | 2018-03-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-02 | 2018-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-02 | 2018-03-19 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2018-02-02 | 2018-03-19 | 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 ne | Health | 2018-02-02 | 2018-03-19 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2018-02-02 | 2018-03-10 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-02-02 | 2018-03-02 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-02-14 | 2017-03-31 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-02-14 | 2017-03-31 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-02-14 | 2017-03-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-02-14 | 2017-03-31 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-02-14 | 2017-03-31 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-02-14 | 2017-03-31 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-02-14 | 2017-03-31 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-02-14 | 2017-03-31 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-14 | 2017-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-14 | 2017-03-31 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-02-14 | 2017-03-31 | N |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2017-02-14 | 2017-03-31 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-02-14 | 2017-03-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-14 | 2017-03-31 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-02-14 | 2017-03-31 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-02-14 | 2017-03-29 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-01-14 | 2016-02-28 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-01-14 | 2016-02-28 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-01-14 | 2016-02-28 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-01-14 | 2016-02-28 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2016-01-14 | 2016-02-28 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-01-14 | 2016-02-28 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-14 | 2016-02-28 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-01-14 | 2016-02-28 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-01-14 | 2016-02-28 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-01-14 | 2016-02-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-01-14 | 2016-02-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-01-14 | 2016-02-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-14 | 2016-02-28 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-01-14 | 2016-02-28 | N |
