Deficiency Records for Kensington Gardens Rehab and Nursing Center
Updated as of June 01, 2021
This is not the most recent data for Kensington Gardens Rehab and Nursing Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-13 | 2020-11-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-09 | 2020-07-13 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-06-09 | 2020-07-13 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2019-06-17 | 2019-07-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-17 | 2019-07-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-17 | 2019-07-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-17 | 2019-07-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-17 | 2019-07-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-17 | 2019-07-20 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-06-20 | 2019-07-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-20 | 2019-07-20 | 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 | 2019-06-20 | 2019-07-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-20 | 2019-07-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-20 | 2019-07-20 | 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 | 2019-06-20 | 2019-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-20 | 2019-07-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-13 | 2019-04-13 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-10-16 | 2018-11-07 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2018-05-03 | 2018-06-04 | 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 | 2018-05-03 | 2018-06-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-03 | 2018-06-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-05-03 | 2018-06-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-05-03 | 2018-06-04 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2018-05-03 | 2018-06-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-03 | 2018-06-04 | 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 | 2018-05-04 | 2018-06-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-04 | 2018-06-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-04 | 2018-06-04 | 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 | 2018-05-04 | 2018-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-04 | 2018-06-04 | N |
