Deficiency Records for Kendallville Manor
Updated as of October 01, 2022
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? |
---|---|---|---|---|
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-08-10 | 2022-08-28 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-23 | 2022-04-08 | Y |
Establish staff and initial training requirements. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-28 | 2022-03-29 | 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 | 2022-02-28 | 2022-03-29 | 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 | 2022-02-28 | 2022-03-29 | N |
Construct fire resistant interior walls. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-28 | 2022-03-29 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-11 | 2022-02-28 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-11 | 2022-02-28 | N |
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 | 2022-02-11 | 2022-02-28 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-11 | 2022-02-28 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-11 | 2022-02-28 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-12-03 | 2020-01-02 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-03 | 2020-01-02 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-12-03 | 2020-01-02 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-10-11 | 2019-10-31 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-11 | 2019-10-31 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-11 | 2019-10-31 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-11 | 2019-10-31 | N |
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 |