CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Kit Carson Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Kit Carson Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Kit Carson Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-04-22 | 2026-04-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-04-22 | 2026-04-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-30 | 2026-04-27 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-03-30 | 2026-04-27 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2026-03-30 | 2026-04-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-30 | 2026-04-27 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2026-03-30 | 2026-04-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-04-15 | 2026-04-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-10 | 2026-04-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-19 | 2026-04-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-02-19 | 2026-04-10 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2026-03-10 | 2026-04-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-03-17 | 2026-04-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-17 | 2026-04-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-02-19 | 2026-03-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-19 | 2026-03-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-06 | 2026-02-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-03 | 2026-01-03 | Y |
| 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 | 2025-08-20 | 2025-09-19 | 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 | 2025-08-14 | 2025-09-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-14 | 2025-09-13 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-08-14 | 2025-09-13 | 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 | 2025-08-14 | 2025-09-13 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-08-14 | 2025-09-13 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-08-14 | 2025-09-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-08-14 | 2025-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-14 | 2025-09-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-14 | 2025-09-13 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2025-08-14 | 2025-09-13 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-08-14 | 2025-09-13 | 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 | 2025-08-14 | 2025-09-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-08-14 | 2025-09-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-08-14 | 2025-09-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-08-14 | 2025-09-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-14 | 2025-09-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-08-14 | 2025-09-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-14 | 2025-09-13 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-08-14 | 2025-09-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-08-14 | 2025-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-08-14 | 2025-09-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-14 | 2025-09-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-14 | 2025-08-28 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-08-14 | 2025-08-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-14 | 2025-08-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-08-14 | 2025-08-20 | N |
| Develop a communication plan. | Fire Safety | 2025-08-14 | 2025-08-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-08-14 | 2025-08-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-08-14 | 2025-08-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-08-14 | 2025-08-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-14 | 2025-08-20 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-08-14 | 2025-08-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-14 | 2025-08-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-08-14 | 2025-08-20 | N |
| Use approved construction type or materials. | Fire Safety | 2025-08-14 | 2025-08-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-10 | 2025-06-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-28 | 2025-04-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-12 | 2024-10-11 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-09-12 | 2024-10-11 | N |
| 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 | 2024-09-12 | 2024-10-11 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-09-12 | 2024-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-12 | 2024-10-11 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-09-12 | 2024-10-11 | 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 | 2024-09-12 | 2024-10-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-12 | 2024-10-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-12 | 2024-10-11 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-09-12 | 2024-10-11 | N |
| Dispose of garbage and refuse properly. | Health | 2024-09-12 | 2024-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-12 | 2024-10-11 | 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 | 2024-09-12 | 2024-10-11 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-09-12 | 2024-10-11 | 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 | 2024-09-12 | 2024-10-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-12 | 2024-10-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-09-12 | 2024-10-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-12 | 2024-10-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-12 | 2024-10-11 | 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 | 2024-09-12 | 2024-10-11 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-09-12 | 2024-10-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-12 | 2024-10-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-09-12 | 2024-10-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-12 | 2024-10-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-09-12 | 2024-10-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-12 | 2024-10-03 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-09-12 | 2024-10-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-12 | 2024-10-03 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-09-12 | 2024-10-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-12 | 2024-10-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-12 | 2024-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-12 | 2024-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-12 | 2024-10-03 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-09-12 | 2024-10-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-09-12 | 2024-10-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-12 | 2024-10-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-09-12 | 2024-10-03 | N |
| Use approved construction type or materials. | Fire Safety | 2024-09-12 | 2024-10-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-11 | 2024-02-10 | Y |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-03-09 | 2023-04-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-09 | 2023-04-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-09 | 2023-04-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-09 | 2023-04-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-09 | 2023-04-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-09 | 2023-04-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-09 | 2023-04-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-09 | 2023-04-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-09 | 2023-04-11 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-03-09 | 2023-04-11 | 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 | 2023-03-09 | 2023-04-11 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-09 | 2023-04-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-09 | 2023-04-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-09 | 2023-04-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-09 | 2023-04-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-09 | 2023-04-07 | 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 | 2023-03-09 | 2023-04-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-09 | 2023-04-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-09 | 2023-04-07 | N |