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 |