A list of the most recent deficiencies for Garden Terrace at Overland Park. 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? |
|---|---|---|---|---|
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-10-11 | 2023-10-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-11 | 2023-10-27 | 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 | 2023-10-11 | 2023-10-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-11 | 2023-10-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-10-11 | 2023-10-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-11 | 2023-10-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-11 | 2023-10-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-11 | 2023-10-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-11 | 2023-10-27 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-10-11 | 2023-10-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-11 | 2023-10-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-12 | 2023-10-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-12 | 2023-10-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-12 | 2023-10-24 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-09-12 | 2023-10-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-12 | 2023-10-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-09-12 | 2023-10-24 | 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 | 2023-09-12 | 2023-10-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-12 | 2023-10-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-09-12 | 2023-10-24 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-09-12 | 2023-10-24 | 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 | 2023-09-12 | 2023-10-24 | 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 | 2023-09-12 | 2023-10-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-12 | 2023-10-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-12 | 2023-10-24 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-09-12 | 2023-10-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-12 | 2023-10-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-12 | 2023-10-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-22 | 2022-09-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-29 | 2022-09-23 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-05 | 2022-05-11 | 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 | 2022-04-05 | 2022-05-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-07 | 2022-04-11 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-03-07 | 2022-04-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-07 | 2022-04-11 | Y |
| 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 | 2022-03-07 | 2022-04-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-08-27 | 2020-10-06 | N |
| 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 | 2020-08-27 | 2020-10-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-08-27 | 2020-10-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-08-27 | 2020-10-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-27 | 2020-10-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-08-27 | 2020-10-06 | 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 | 2020-08-27 | 2020-10-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-08-27 | 2020-10-06 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-08-27 | 2020-08-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-18 | 2020-03-28 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-02-18 | 2020-03-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-18 | 2020-03-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-18 | 2020-03-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-18 | 2020-03-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-18 | 2020-03-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-02-18 | 2020-03-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-18 | 2020-03-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-02-18 | 2020-03-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-18 | 2020-03-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-18 | 2020-03-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-18 | 2020-03-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-18 | 2020-03-28 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2020-02-18 | 2020-03-28 | N |
