Most Recent Deficiencies for Kentmere Rehabilitation and Healthcare Center

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Updated as of July 01, 2022

A list of the most recent deficiencies for Kentmere Rehabilitation and Healthcare 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-04-25 2022-06-03 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 2022-04-25 2022-06-03 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2022-04-25 2022-04-06 Y
Reasonably accommodate the needs and preferences of each resident. Health 2021-12-09 2022-01-07 Y
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Health 2021-12-09 2022-01-07 Y
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2021-12-09 2022-01-07 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2021-12-09 2022-01-07 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-12-09 2022-01-07 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 2021-12-09 2022-01-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-12-09 2022-01-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-12-09 2022-01-07 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2021-12-09 2022-01-07 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 2021-12-09 2022-01-07 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-12-09 2022-01-07 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-12-09 2022-01-07 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-09 2022-01-07 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2021-12-09 2022-01-07 Y
Provide and implement an infection prevention and control program. Health 2021-12-09 2022-01-07 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-08-26 2021-09-30 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 2021-08-26 2021-09-30 Y
Provide and implement an infection prevention and control program. Health 2021-08-26 2021-09-30 Y
Provide and implement an infection prevention and control program. Health 2020-10-13 2020-11-10 Y
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 2020-01-21 2020-03-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-01-21 2020-03-09 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2020-01-21 2020-03-09 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-01-21 2020-03-09 N
Provide enough food/fluids to maintain a resident's health. Health 2020-01-21 2020-03-09 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2020-01-21 2020-03-09 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 2020-01-21 2020-03-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-01-21 2020-02-13 Y
Reasonably accommodate the needs and preferences of each resident. Health 2018-12-06 2019-01-24 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2018-12-06 2019-01-24 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2018-12-06 2019-01-24 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2018-12-06 2019-01-24 N
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. Health 2018-12-06 2019-01-24 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2018-12-06 2019-01-24 N
Respond appropriately to all alleged violations. Health 2018-12-06 2019-01-24 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2018-12-06 2019-01-24 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-12-06 2019-01-24 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-12-06 2019-01-24 N
Provide enough food/fluids to maintain a resident's health. Health 2018-12-06 2019-01-24 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 2018-12-06 2019-01-24 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2018-12-06 2019-01-24 N
Provide routine and 24-hour emergency dental care for each resident. Health 2018-12-06 2019-01-24 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-12-06 2019-01-24 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2018-12-05 2019-01-02 N
Have properly located and lighted "Exit" signs. Fire Safety 2018-12-05 2019-01-02 N