A list of the most recent deficiencies for Kingsley Specialty Care. 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2023-06-29 | 2023-07-17 | N |
| Provide activities to meet all resident's needs. | Health | 2023-06-29 | 2023-07-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-06-29 | 2023-07-17 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-06-29 | 2023-07-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-29 | 2023-07-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-29 | 2023-07-17 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-06 | 2023-07-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-06 | 2023-07-10 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-07-06 | 2023-07-06 | 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 | 2022-06-16 | 2022-07-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-16 | 2022-07-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-16 | 2022-07-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-16 | 2022-06-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-06-09 | 2022-06-28 | 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 | 2022-06-09 | 2022-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-09 | 2022-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-16 | 2022-06-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-16 | 2022-06-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-09-02 | 2021-09-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-02 | 2021-09-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-30 | 2021-09-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-30 | 2021-09-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-08-30 | 2021-09-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-30 | 2021-09-24 | 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 | 2021-08-30 | 2021-09-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-30 | 2021-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-30 | 2021-09-24 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-08-30 | 2021-09-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-30 | 2021-09-24 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2021-08-30 | 2021-09-24 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-08-30 | 2021-09-24 | Y |
| 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 | 2021-08-30 | 2021-09-24 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-09-02 | 2021-09-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-30 | 2021-09-14 | Y |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-09-02 | 2021-09-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-02 | 2021-09-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-02 | 2021-09-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-09-02 | 2021-09-09 | N |
