Deficiency Records for Kendallville Manor
Updated as of October 01, 2018
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? |
|---|---|---|---|---|
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2017-12-21 | 2018-01-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2017-12-21 | 2018-01-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-12-21 | 2018-01-18 | 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 | 2017-12-21 | 2018-01-18 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-12-21 | 2018-01-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-12-21 | 2018-01-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-12-21 | 2018-01-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-12-21 | 2018-01-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-18 | 2017-10-10 | Y |
| Meet other general requirements. | Fire Safety | 2017-02-27 | 2017-03-31 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2017-02-27 | 2017-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-27 | 2017-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-02-27 | 2017-03-31 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-02-27 | 2017-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-02-27 | 2017-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-02-27 | 2017-03-31 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2017-02-27 | 2017-03-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-02-27 | 2017-03-09 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-30 | 2017-02-09 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-01-30 | 2017-02-09 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-30 | 2017-02-09 | N |
| 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 |
