Deficiency Records for Kendallville Manor
Updated as of November 01, 2019
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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-10-17 | 2019-01-18 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-10-17 | 2019-01-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-10-17 | 2019-01-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-10-17 | 2019-01-18 | N |
| Establish methods for sharing information. | Fire Safety | 2018-10-17 | 2018-11-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-10-17 | 2018-11-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-17 | 2018-11-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-17 | 2018-11-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-17 | 2018-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-17 | 2018-11-17 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-09-12 | 2018-10-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-12 | 2018-10-12 | N |
| 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 |
