A list of the most recent deficiencies for Kauai Care 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? |
|---|---|---|---|---|
| Establish staff and initial training requirements. | Fire Safety | 2023-04-18 | 2023-07-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-18 | 2023-07-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-14 | 2023-05-29 | 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 | 2023-04-14 | 2023-05-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-14 | 2023-05-29 | 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 | 2023-04-14 | 2023-05-29 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-14 | 2023-05-29 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-04-14 | 2023-05-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-14 | 2023-05-29 | N |
| Report COVID19 data to residents and families. | Health | 2023-04-14 | 2023-05-29 | N |
| Respond appropriately to all alleged violations. | Health | 2023-04-14 | 2023-05-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-28 | 2022-07-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-20 | 2022-07-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-20 | 2022-07-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-20 | 2022-07-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-20 | 2022-07-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-20 | 2022-07-06 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-05-20 | 2022-07-06 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-20 | 2022-07-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-01 | 2022-03-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-01 | 2022-03-30 | 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 | 2022-02-23 | 2022-03-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-23 | 2022-03-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-23 | 2022-03-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-23 | 2022-03-24 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-02-23 | 2022-03-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-25 | 2021-09-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-03-25 | 2021-09-27 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-03-25 | 2021-09-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-25 | 2021-09-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-03-25 | 2021-09-27 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-03-25 | 2021-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-25 | 2021-09-27 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2021-03-25 | 2021-09-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-25 | 2021-09-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-27 | 2021-07-22 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-03-05 | 2021-05-12 | 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 | 2021-03-05 | 2021-05-12 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-03-05 | 2021-05-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-05 | 2021-05-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-05 | 2021-05-12 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-03-05 | 2021-05-12 | N |
