Deficiency Records for Kit Carson Nursing and Rehabilitation Center
Updated as of January 01, 2019
This is not the most recent data for Kit Carson Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Kit Carson Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-10-05 | 2018-10-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-22 | 2018-10-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-22 | 2018-10-17 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-07-23 | 2018-09-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-23 | 2018-09-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-07-23 | 2018-09-05 | 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 | 2018-07-23 | 2018-09-05 | 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 | 2018-07-23 | 2018-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-23 | 2018-09-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-23 | 2018-09-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-07-23 | 2018-09-05 | 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 | 2018-07-23 | 2018-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-23 | 2018-09-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-07-23 | 2018-09-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-14 | 2018-08-30 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-06-26 | 2018-07-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-25 | 2018-07-15 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-06-07 | 2018-07-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-29 | 2018-07-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-06-29 | 2018-07-09 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-06-29 | 2018-07-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-31 | 2018-04-11 | Y |
| Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. | Health | 2017-07-20 | 2017-09-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-20 | 2017-09-29 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-07-20 | 2017-09-29 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-07-20 | 2017-09-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-20 | 2017-09-29 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-07-20 | 2017-09-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-20 | 2017-09-29 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-11 | 2017-07-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-13 | 2016-11-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-08-09 | 2016-09-08 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-07-27 | 2016-08-31 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2016-07-27 | 2016-08-31 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-07-27 | 2016-08-31 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-07-27 | 2016-08-31 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-07-27 | 2016-08-31 | N |
| Properly maintained smoke detectors. | Fire Safety | 2016-07-27 | 2016-08-31 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-07-27 | 2016-08-31 | N |
| Portable fire extinguishers. | Fire Safety | 2016-07-27 | 2016-08-31 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2016-07-27 | 2016-08-31 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-07-27 | 2016-08-31 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-07-27 | 2016-08-31 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2016-07-27 | 2016-08-31 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2016-07-27 | 2016-08-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-07-21 | 2016-08-08 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-07-20 | 2016-08-03 | Y |
| Provide housekeeping and maintenance services. | Health | 2016-03-03 | 2016-04-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-11 | 2016-02-24 | Y |
| Approved construction type or materials. | Fire Safety | 2016-01-05 | 2016-02-16 | Y |
