A list of the most recent deficiencies for Especially Kidz Health and Rehab. 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? |
---|---|---|---|---|
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-08 | 2023-02-01 | 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 | 2022-12-08 | 2023-02-01 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-12-08 | 2023-02-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-08 | 2023-02-01 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-08 | 2023-02-01 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-08 | 2023-02-01 | N |
Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2022-12-08 | 2023-02-01 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-03 | 2022-11-16 | N |
Respond appropriately to all alleged violations. | Health | 2022-11-03 | 2022-11-16 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-11-03 | 2022-11-16 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-11-03 | 2022-11-16 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-03 | 2022-11-16 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-25 | 2021-10-20 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2019-11-21 | 2020-01-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-21 | 2020-01-15 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-11-21 | 2020-01-15 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-21 | 2020-01-15 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-11-21 | 2020-01-15 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-21 | 2020-01-15 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-21 | 2020-01-15 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-21 | 2020-01-15 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-08-27 | 2019-09-09 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-27 | 2019-09-09 | 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 | 2019-08-27 | 2019-09-09 | N |
Provide appropriate foot care. | Health | 2019-08-27 | 2019-09-09 | N |
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 | 2019-08-27 | 2019-09-09 | 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 | 2019-08-27 | 2019-09-09 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-27 | 2019-09-09 | N |
Provide and implement an infection prevention and control program. | Health | 2019-08-27 | 2019-09-09 | 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 | 2018-07-26 | 2018-09-13 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-26 | 2018-09-12 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-07-26 | 2018-09-12 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-26 | 2018-09-12 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-26 | 2018-09-12 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-26 | 2018-09-12 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-07-26 | 2018-09-12 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-07-26 | 2018-09-12 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-26 | 2018-09-12 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-26 | 2018-09-12 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-07-26 | 2018-09-12 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-25 | 2018-08-13 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-07-25 | 2018-08-13 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-07-25 | 2018-08-13 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-25 | 2018-08-13 | N |
Provide and implement an infection prevention and control program. | Health | 2018-07-25 | 2018-08-13 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-07-25 | 2018-08-13 | N |