A list of the most recent deficiencies for Wellbrooke of Kokomo. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-01 | 2023-12-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-08 | 2023-03-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-08 | 2023-03-31 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-17 | 2023-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-17 | 2023-03-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-17 | 2023-03-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-17 | 2023-03-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-17 | 2023-03-08 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-01-17 | 2023-03-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-17 | 2023-03-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-17 | 2023-03-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-12-07 | 2023-02-04 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-12-07 | 2023-02-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-07 | 2022-12-29 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-12-07 | 2022-12-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-12-07 | 2022-12-29 | 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 | 2022-12-07 | 2022-12-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-07 | 2022-12-29 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-12-07 | 2022-12-29 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-12-07 | 2022-12-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-07 | 2022-12-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-07 | 2022-12-29 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-12-07 | 2022-12-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-07 | 2022-12-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-07 | 2022-12-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-07 | 2022-12-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-07 | 2022-12-29 | Y |
| 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 | 2022-12-07 | 2022-12-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-07 | 2022-12-29 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-12-07 | 2022-12-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-07 | 2022-12-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-07 | 2022-12-29 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-21 | 2020-01-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-12 | 2019-12-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-12 | 2019-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-12 | 2019-12-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-11-12 | 2019-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-12 | 2019-12-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-10-04 | 2018-10-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-04 | 2018-10-25 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-09-11 | 2018-10-11 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-09-11 | 2018-10-11 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-09-11 | 2018-10-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-11 | 2018-10-11 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-09-11 | 2018-10-11 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-09-11 | 2018-10-11 | N |
