Deficiency Records for Karcher Post-Acute and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Karcher Post-Acute and Rehabilitation 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? |
|---|---|---|---|---|
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-01-26 | 2024-02-20 | Y |
| 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 | 2024-01-26 | 2024-02-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-26 | 2024-02-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-26 | 2024-02-20 | Y |
| 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 | 2024-01-26 | 2024-02-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-26 | 2024-02-20 | Y |
| Provide appropriate foot care. | Health | 2023-01-13 | 2023-04-20 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2023-01-13 | 2023-04-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-13 | 2023-02-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-13 | 2023-02-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-01-13 | 2023-02-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-13 | 2023-02-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-13 | 2023-02-28 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-13 | 2023-02-28 | Y |
| 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 | 2023-01-13 | 2023-02-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-13 | 2023-02-28 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-01-13 | 2023-02-28 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-01-13 | 2023-02-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-13 | 2023-02-28 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-01-13 | 2023-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-13 | 2023-02-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-13 | 2023-02-28 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-01-13 | 2023-02-28 | Y |
| 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 | 2023-01-13 | 2023-02-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-13 | 2023-02-28 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-01-13 | 2023-02-28 | Y |
| Dispose of garbage and refuse properly. | Health | 2023-01-13 | 2023-02-28 | Y |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-01-13 | 2023-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-13 | 2023-02-28 | Y |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2023-01-13 | 2023-02-28 | Y |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-12-15 | 2023-01-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-15 | 2023-01-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-15 | 2023-01-09 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2020-01-10 | 2020-03-16 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-01-10 | 2020-03-16 | 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 | 2020-01-10 | 2020-03-16 | 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 | 2020-01-10 | 2020-03-16 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-01-10 | 2020-03-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-10 | 2020-03-16 | 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 | 2020-01-10 | 2020-03-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-10 | 2020-03-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-10 | 2020-03-16 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-01-10 | 2020-03-16 | 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 | 2018-09-14 | 2018-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-14 | 2018-10-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-14 | 2018-10-15 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-09-14 | 2018-10-15 | 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 | 2018-09-14 | 2018-10-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-14 | 2018-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-14 | 2018-10-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-09-14 | 2018-10-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-07-24 | 2018-08-17 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-07-24 | 2018-08-17 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-07-24 | 2018-08-17 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-07-24 | 2018-08-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-07-24 | 2018-08-17 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-07-24 | 2018-08-17 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2018-07-24 | 2018-08-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-07-24 | 2018-08-17 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-07-24 | 2018-08-17 | N |
