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Deficiency Records for Complete Care at Kimberly Hall-South

View the most recent health deficiencies and inspection results for Complete Care at Kimberly Hall-South. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Complete Care at Kimberly Hall-South. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide safe, appropriate pain management for a resident who requires such services. Health 2025-05-01 2025-06-12 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-05-01 2025-06-12 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-04-03 2025-02-20 Y
Provide and implement an infection prevention and control program. Health 2025-01-14 2025-02-14 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-01-14 2025-02-14 Y
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 2025-02-03 2025-02-07 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2025-02-03 2025-02-03 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-11-19 2025-01-06 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-11-19 2024-12-26 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-11-19 2024-12-26 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-11-19 2024-12-26 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-11-19 2024-12-26 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-11-19 2024-12-26 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 2024-11-19 2024-12-26 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2024-11-19 2024-12-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-09-13 2024-10-17 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-09-13 2024-10-17 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-09-13 2024-10-17 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-07-15 2024-08-21 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-15 2024-08-21 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-07-03 2024-08-07 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-10-19 2023-11-30 Y
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-05-23 2022-07-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-05-23 2022-07-15 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-05-23 2022-07-15 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-05-23 2022-07-15 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 2022-05-23 2022-06-30 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 2022-05-23 2022-06-30 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 2022-05-23 2022-06-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-23 2022-06-30 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 2022-05-23 2022-06-30 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2022-05-23 2022-06-30 N
Provide and implement an infection prevention and control program. Health 2022-05-23 2022-06-30 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-05-23 2022-06-30 N
Provide or obtain dental services for each resident. Health 2019-10-24 2019-12-05 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-10-24 2019-12-05 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-10-24 2019-12-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-10-24 2019-12-05 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-10-24 2019-12-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-10-24 2019-12-05 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 2019-10-24 2019-12-05 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2019-10-24 2019-12-05 N
Install an approved automatic sprinkler system. Fire Safety 2019-10-24 2019-11-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-10-24 2019-11-08 N

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