Deficiency Records for Bertha D Garten Ketcham Memorial Center
Updated as of March 01, 2022
This is not the most recent data for Bertha D Garten Ketcham Memorial Center. For the most recent information, click here.
A list of the most recent deficiencies for Bertha D Garten Ketcham Memorial Center. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-31 | 2022-03-03 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-01-31 | 2022-02-24 | N |
| Develop a communication plan. | Fire Safety | 2022-01-31 | 2022-02-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-31 | 2022-02-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-31 | 2022-02-17 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-01-31 | 2022-02-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-31 | 2022-02-17 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-01-06 | 2022-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-09 | 2021-09-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-30 | 2021-04-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-21 | 2020-11-03 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-12-11 | 2019-12-31 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-12-11 | 2019-12-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-11 | 2019-12-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-11 | 2019-12-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-09-18 | 2019-10-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-18 | 2019-10-04 | 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 | 2019-09-18 | 2019-10-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-18 | 2019-10-04 | N |
| Post nurse staffing information every day. | Health | 2019-09-18 | 2019-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-18 | 2019-10-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-09-18 | 2019-10-04 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-08-20 | 2018-09-11 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-08-20 | 2018-09-11 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-08-20 | 2018-09-11 | 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 | 2018-08-20 | 2018-09-11 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-08-20 | 2018-09-11 | 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 | 2018-08-20 | 2018-09-11 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-08-20 | 2018-09-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-08-20 | 2018-09-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-20 | 2018-09-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-08-20 | 2018-09-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-20 | 2018-09-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-20 | 2018-09-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-20 | 2018-09-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-08 | 2018-08-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-08 | 2018-08-27 | N |
