Deficiency Records for Kit Carson Nursing and Rehabilitation Center
Updated as of August 01, 2021
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-07-17 | 2020-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-04 | 2020-08-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-04-01 | 2020-04-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-04-01 | 2020-04-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-21 | 2020-02-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-21 | 2020-02-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-01-21 | 2020-02-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-27 | 2020-02-11 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2020-01-27 | 2020-02-11 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-01-27 | 2020-02-11 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-01-06 | 2020-02-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-06 | 2020-02-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-02 | 2020-01-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-18 | 2020-01-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-17 | 2019-11-12 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-25 | 2019-10-14 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-09-25 | 2019-10-14 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-09-25 | 2019-10-14 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-25 | 2019-10-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-09-25 | 2019-10-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-25 | 2019-10-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-25 | 2019-10-14 | 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 | 2019-09-25 | 2019-10-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-25 | 2019-10-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-25 | 2019-10-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-25 | 2019-10-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-25 | 2019-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-25 | 2019-10-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-19 | 2019-10-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-06 | 2019-10-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-06 | 2019-10-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-06 | 2019-10-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-06 | 2019-10-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-06 | 2019-10-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-06 | 2019-10-03 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-09-06 | 2019-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-06 | 2019-10-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-06 | 2019-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-06 | 2019-10-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-02 | 2019-08-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-23 | 2019-06-26 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-17 | 2019-05-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-01 | 2019-04-19 | Y |
| 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 |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-14 | 2018-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-14 | 2018-08-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-14 | 2018-08-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-14 | 2018-08-30 | N |
| 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 |
| Use approved construction type or materials. | Fire Safety | 2017-07-26 | 2017-08-17 | 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 | 2017-07-26 | 2017-08-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-07-26 | 2017-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-26 | 2017-08-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-26 | 2017-08-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-07-26 | 2017-08-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-07-26 | 2017-08-17 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-07-26 | 2017-08-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-26 | 2017-08-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-07-26 | 2017-08-17 | N |
