A list of the most recent deficiencies for Aperion Care Kokomo. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-29 | 2023-10-20 | Y |
| 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 | 2023-09-29 | 2023-10-20 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-18 | 2023-09-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-18 | 2023-09-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-18 | 2023-09-26 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-08-18 | 2023-09-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Develop a communication plan. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Meet other general requirements. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-08-18 | 2023-09-25 | 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 | 2023-08-18 | 2023-09-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-18 | 2023-09-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-28 | 2023-09-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-28 | 2023-09-08 | 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 | 2023-07-28 | 2023-09-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-28 | 2023-09-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-28 | 2023-09-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-28 | 2023-09-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-28 | 2023-09-08 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-07-28 | 2023-09-08 | 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 | 2023-07-28 | 2023-09-08 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-07-28 | 2023-09-08 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-07-28 | 2023-09-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-28 | 2023-09-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-28 | 2023-09-08 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-08-23 | 2022-10-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-23 | 2022-10-04 | N |
| Develop a communication plan. | Fire Safety | 2022-08-23 | 2022-10-04 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-08-23 | 2022-10-04 | N |
| Meet other general requirements. | Fire Safety | 2022-08-23 | 2022-10-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-23 | 2022-10-04 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-08-23 | 2022-10-04 | 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 | 2022-08-23 | 2022-10-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-23 | 2022-10-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-23 | 2022-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-23 | 2022-10-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-23 | 2022-10-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-23 | 2022-10-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-23 | 2022-10-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-23 | 2022-10-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-23 | 2022-10-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-23 | 2022-10-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-23 | 2022-10-04 | 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 | 2022-07-13 | 2022-08-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-07-13 | 2022-08-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-13 | 2022-08-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-13 | 2022-08-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-13 | 2022-08-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-07-13 | 2022-08-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-13 | 2022-08-10 | 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 | 2022-07-13 | 2022-08-10 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-07-13 | 2022-08-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-13 | 2022-08-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-13 | 2022-08-10 | 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 | 2022-07-13 | 2022-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-13 | 2022-08-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-05 | 2022-04-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-04 | 2022-03-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-04 | 2022-03-23 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-03-04 | 2022-03-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-04 | 2022-03-23 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-03-04 | 2022-03-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-04 | 2022-03-23 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-04 | 2022-03-23 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-04 | 2022-03-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-04 | 2022-03-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-04 | 2022-03-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-10 | 2022-03-23 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-02-10 | 2022-03-04 | 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 | 2022-02-02 | 2022-03-04 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-01 | 2021-08-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-01 | 2021-08-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-01 | 2021-08-11 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-07-01 | 2021-08-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-07-01 | 2021-08-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-01 | 2021-08-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-01 | 2021-08-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-01 | 2021-08-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-01 | 2021-08-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-01 | 2021-08-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-01 | 2021-08-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-01 | 2021-08-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-01 | 2021-08-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-07 | 2021-06-30 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2021-06-07 | 2021-06-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-07 | 2021-06-30 | Y |
