Deficiency Records for Garden Terrace at Overland Park
Updated as of April 01, 2022
This is not the most recent data for Garden Terrace at Overland Park. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 | Y |
| 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 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-08-27 | 2020-10-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-08-27 | 2020-10-06 | Y |
| 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 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-08-27 | 2020-10-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-27 | 2020-10-06 | Y |
| 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 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2020-07-07 | 2020-07-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-07-07 | 2020-07-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2020-06-17 | 2020-07-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-06-04 | 2020-07-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-06-04 | 2020-07-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-06-04 | 2020-07-03 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-06-04 | 2020-07-03 | Y |
| 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 |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-06-24 | 2019-07-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-24 | 2019-07-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-06-24 | 2019-07-15 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-27 | 2019-05-22 | 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 | 2019-03-27 | 2019-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-27 | 2019-05-22 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-03-27 | 2019-05-22 | 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 | 2019-03-25 | 2019-04-29 | 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 | 2019-03-25 | 2019-04-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-25 | 2019-04-29 | 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 | 2019-03-25 | 2019-04-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-25 | 2019-04-29 | 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 | 2019-03-25 | 2019-04-29 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-03-25 | 2019-04-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-03-25 | 2019-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-25 | 2019-04-29 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2019-03-25 | 2019-04-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-25 | 2019-04-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-05-02 | 2018-06-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-02 | 2018-06-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-05-02 | 2018-06-26 | 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 | 2018-05-02 | 2018-06-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-02 | 2018-06-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-02 | 2018-06-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-05-02 | 2018-06-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-03-23 | 2017-05-05 | 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 | 2017-03-23 | 2017-05-05 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-03-23 | 2017-05-05 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-03-23 | 2017-05-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-03-23 | 2017-05-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-03-23 | 2017-05-05 | 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 | 2017-03-23 | 2017-05-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-03-23 | 2017-05-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-23 | 2017-05-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-23 | 2017-05-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-23 | 2017-05-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-03-23 | 2017-05-05 | N |
