A list of the most recent deficiencies for Delmar Gardens of 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-19 | 2022-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-19 | 2022-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-19 | 2022-11-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-15 | 2022-10-21 | Y |
| 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 | 2022-09-15 | 2022-10-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-15 | 2022-10-21 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2022-09-15 | 2022-10-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-15 | 2022-10-21 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-09-15 | 2022-10-21 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-09-15 | 2022-10-21 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-09-15 | 2022-10-21 | 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 | 2022-09-15 | 2022-10-21 | Y |
| 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 | 2022-09-15 | 2022-10-21 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-15 | 2022-10-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-15 | 2022-10-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-25 | 2022-02-20 | Y |
| 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 | 2021-07-12 | 2021-07-27 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-15 | 2021-05-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-15 | 2021-05-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-15 | 2021-05-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-15 | 2021-05-07 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-04-15 | 2021-05-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-15 | 2021-05-07 | 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 | 2021-04-15 | 2021-05-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-15 | 2021-05-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-14 | 2019-08-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-08-14 | 2019-08-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-14 | 2019-08-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-14 | 2019-08-28 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-14 | 2019-08-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-14 | 2019-08-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-14 | 2019-08-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-14 | 2019-08-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-14 | 2019-08-28 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-14 | 2019-08-28 | 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 | 2019-08-14 | 2019-08-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-14 | 2019-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-14 | 2019-08-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-14 | 2019-08-28 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-07-16 | 2019-07-29 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-07-16 | 2019-07-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-07-16 | 2019-07-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-16 | 2019-07-29 | 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 | 2019-07-16 | 2019-07-29 | 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 | 2019-07-16 | 2019-07-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-16 | 2019-07-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-07-16 | 2019-07-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-16 | 2019-07-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-16 | 2019-07-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-16 | 2019-07-29 | N |
