A list of the most recent deficiencies for Kennybrook Village. 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? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-09-28 | 2023-10-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-09-28 | 2023-10-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-28 | 2023-10-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-28 | 2023-10-20 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-09-28 | 2023-10-20 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-04 | 2023-10-16 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-10-04 | 2023-10-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-04 | 2023-10-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-23 | 2022-07-11 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-06-23 | 2022-07-11 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-06-23 | 2022-07-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-23 | 2022-07-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-23 | 2022-06-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-23 | 2022-06-24 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-07-28 | 2021-08-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-07-28 | 2021-08-26 | 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 | 2021-07-28 | 2021-08-26 | N |
| Post nurse staffing information every day. | Health | 2021-07-28 | 2021-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-28 | 2021-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-28 | 2021-08-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-28 | 2021-08-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-28 | 2021-08-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-28 | 2021-07-28 | N |
