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Deficiency Records for Kensington Gardens Rehab and Nursing Center

View the most recent health deficiencies and inspection results for Kensington Gardens Rehab and Nursing Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Kensington Gardens Rehab and Nursing Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Implement a program that monitors antibiotic use. Health 2026-02-18 2026-03-18 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2026-01-16 2026-03-18 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-01-16 2026-03-18 Y
Provide and implement an infection prevention and control program. Health 2026-02-18 2026-03-18 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2026-01-16 2026-02-15 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2026-01-16 2026-02-15 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 2026-01-16 2026-02-15 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 2026-01-16 2026-02-15 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2026-01-16 2026-02-15 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2026-01-16 2026-02-15 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2026-01-16 2026-02-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2026-01-16 2026-02-15 Y
Keep all essential equipment working safely. Health 2025-05-13 2025-07-12 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 2025-06-12 2025-07-12 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-06-12 2025-07-12 Y
Respond appropriately to all alleged violations. Health 2025-06-12 2025-07-12 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2025-06-12 2025-07-12 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2025-05-13 2025-07-12 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2025-05-13 2025-07-12 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 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
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 2024-02-01 2024-02-29 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-02-01 2024-02-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-01 2024-02-29 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-02-01 2024-02-29 Y
Ensure medication error rates are not 5 percent or greater. Health 2024-02-01 2024-02-29 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-02-01 2024-02-29 N
Meet other general requirements. Fire Safety 2024-02-01 2024-02-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-01 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 2024-02-01 2024-02-29 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-02-01 2024-02-29 N
Have proper medical gas storage and administration areas. Fire Safety 2024-02-01 2024-02-29 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 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
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
Ensure medication error rates are not 5 percent or greater. 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
Provide and implement an infection prevention and control program. 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
Post nurse staffing information every day. 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
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
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
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
Have proper medical gas storage and administration areas. Fire Safety 2021-02-05 2021-02-10 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-02-05 2021-02-10 N
List the names and contact information of those in the facility. Fire Safety 2021-02-05 2021-02-10 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-02-05 2021-02-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-02-05 2021-02-10 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-02-05 2021-02-10 N

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