Deficiency Records for Diversicare of Haysville
Updated as of July 01, 2023
This is not the most recent data for Diversicare of Haysville. For the most recent information, click here.
A list of the most recent deficiencies for Diversicare of Haysville. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-23 | 2021-12-22 | 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 | 2021-11-23 | 2021-12-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-23 | 2021-12-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-23 | 2021-12-22 | 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 | 2021-11-23 | 2021-11-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-11-23 | 2021-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-14 | 2021-11-06 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-08-23 | 2021-09-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-08-23 | 2021-09-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-23 | 2021-09-15 | Y |
| 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 | 2021-08-23 | 2021-09-15 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-03-08 | 2021-04-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-30 | 2019-11-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-30 | 2019-11-21 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-10-30 | 2019-11-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-10-30 | 2019-11-21 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-10-30 | 2019-11-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-30 | 2019-11-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-30 | 2019-11-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-30 | 2019-11-21 | 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 | 2019-10-30 | 2019-11-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-30 | 2019-11-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-30 | 2019-11-21 | 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 | 2019-10-30 | 2019-11-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-30 | 2019-11-21 | 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 | 2019-10-30 | 2019-11-21 | 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 | 2019-10-30 | 2019-11-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-30 | 2019-11-21 | 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 | 2019-10-30 | 2019-11-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-10-30 | 2019-11-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-19 | 2019-09-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-19 | 2019-09-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-09 | 2018-09-14 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-08-09 | 2018-09-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-09 | 2018-09-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-09 | 2018-09-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-09 | 2018-09-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-09 | 2018-09-14 | 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 | 2018-08-09 | 2018-09-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-09 | 2018-09-14 | N |
| Provide activities to meet all resident's needs. | Health | 2018-08-09 | 2018-09-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-09 | 2018-09-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-09 | 2018-09-14 | 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 | 2018-08-09 | 2018-09-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-08-09 | 2018-09-14 | N |
| Post nurse staffing information every day. | Health | 2018-08-09 | 2018-09-14 | 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 | 2018-08-09 | 2018-09-14 | 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 | 2018-08-09 | 2018-09-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-09 | 2018-09-14 | 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 | 2018-08-09 | 2018-09-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-08-09 | 2018-09-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-09 | 2018-09-14 | 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 | 2018-08-09 | 2018-09-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-08-09 | 2018-09-14 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-03-19 | 2018-04-17 | N |
| Develop a communication plan. | Fire Safety | 2018-03-19 | 2018-04-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-03-19 | 2018-04-17 | N |
| Use approved construction type or materials. | Fire Safety | 2018-03-19 | 2018-04-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-19 | 2018-04-17 | 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 | 2018-03-19 | 2018-04-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-03-19 | 2018-04-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-03-19 | 2018-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-19 | 2018-04-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-03-19 | 2018-04-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-19 | 2018-04-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-19 | 2018-04-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-19 | 2018-04-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-03-19 | 2018-04-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-19 | 2018-04-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-19 | 2018-04-17 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-03-19 | 2018-03-26 | N |
