Deficiency Records for Kensington Gardens Rehab and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Kensington Gardens Rehab and Nursing 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? |
|---|---|---|---|---|
| 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 | 2024-02-01 | 2024-02-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-02-01 | 2024-02-29 | 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 | 2024-02-01 | 2024-02-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-01 | 2024-02-29 | N |
| Post nurse staffing information every day. | Health | 2024-02-01 | 2024-02-29 | N |
| Meet other general requirements. | Fire Safety | 2024-01-31 | 2024-02-29 | 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 | 2024-01-31 | 2024-02-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-31 | 2024-02-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-31 | 2024-02-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-31 | 2024-02-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-31 | 2024-02-29 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-12-14 | 2024-01-14 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-12-14 | 2024-01-14 | 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 | 2023-12-14 | 2024-01-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-31 | 2023-02-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-31 | 2023-02-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-31 | 2023-02-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-14 | 2022-05-14 | Y |
| 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 | 2022-04-14 | 2022-05-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-14 | 2022-05-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-14 | 2022-05-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-14 | 2022-05-14 | N |
| Post nurse staffing information every day. | Health | 2022-04-14 | 2022-05-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-14 | 2022-05-14 | 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 | 2022-04-14 | 2022-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-14 | 2022-05-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-04-14 | 2022-05-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-02-04 | 2021-02-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-02-04 | 2021-02-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-02-04 | 2021-02-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-04 | 2021-02-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-02-04 | 2021-02-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-04 | 2021-02-10 | N |
