Deficiency Records for Kendallville Manor
Updated as of September 01, 2016
This is not the most recent data for Kendallville Manor. For the most recent information, click here.
A list of the most recent deficiencies for Kendallville Manor. 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? |
|---|---|---|---|---|
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-02-10 | 2016-03-11 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-02-10 | 2016-03-11 | N |
| Rooms that can be unlocked from inside without a key. | Fire Safety | 2016-02-10 | 2016-03-11 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-02-10 | 2016-03-11 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-02-10 | 2016-03-11 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-10 | 2016-03-11 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-02-10 | 2016-03-11 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2016-02-10 | 2016-03-11 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2016-02-10 | 2016-03-11 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-02-10 | 2016-03-11 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-02-10 | 2016-03-11 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-01-15 | 2016-02-11 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-01-15 | 2016-02-11 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-01-15 | 2016-02-11 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-01-15 | 2016-02-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-01-15 | 2016-02-11 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-02-16 | 2015-03-11 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-02-16 | 2015-03-11 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-02-16 | 2015-03-11 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2015-02-16 | 2015-03-11 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-02-16 | 2015-03-11 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-02-16 | 2015-03-11 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2014-12-23 | 2015-01-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-12-23 | 2015-01-21 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-03-13 | 2014-04-12 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-03-13 | 2014-04-12 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-03-13 | 2014-04-12 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-03-13 | 2014-04-12 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-03-13 | 2014-04-12 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-03-13 | 2014-04-12 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2014-03-13 | 2014-04-12 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2014-03-13 | 2014-04-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2013-10-24 | 2013-11-23 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2013-10-24 | 2013-11-23 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-10-24 | 2013-11-23 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2013-10-24 | 2013-11-23 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2013-10-24 | 2013-11-23 | Y |
