A list of the most recent deficiencies for Diversicare of Chanute. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-26 | 2023-12-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-25 | 2022-07-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-25 | 2022-07-01 | 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 | 2022-05-25 | 2022-07-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-25 | 2022-07-01 | 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 | 2022-05-25 | 2022-07-01 | N |
| Post nurse staffing information every day. | Health | 2022-05-25 | 2022-07-01 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-05-25 | 2022-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-25 | 2022-07-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-25 | 2022-07-01 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-05-25 | 2022-07-01 | N |
| Keep all essential equipment working safely. | Health | 2022-05-25 | 2022-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-25 | 2022-07-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-25 | 2022-07-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-25 | 2022-07-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-25 | 2022-07-01 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-03 | 2022-04-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-03-03 | 2022-04-02 | 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 | 2022-03-03 | 2022-04-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-03-03 | 2022-04-02 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-03-03 | 2022-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-03 | 2022-04-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-03-03 | 2022-04-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-03 | 2022-04-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-03 | 2022-04-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-03 | 2022-04-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-03 | 2022-04-02 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2021-12-02 | 2021-12-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-01 | 2021-08-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-01 | 2021-08-01 | 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 | 2021-07-01 | 2021-08-01 | Y |
| 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 | 2020-09-01 | 2020-09-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-09-01 | 2020-09-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-01 | 2020-09-28 | 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 | 2020-09-01 | 2020-09-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-01 | 2020-09-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-09-01 | 2020-09-28 | 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 | 2020-09-01 | 2020-09-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-09-01 | 2020-09-28 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-09-01 | 2020-09-28 | 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 | 2020-09-01 | 2020-09-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-09-01 | 2020-09-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-09-01 | 2020-09-28 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-02-06 | 2020-03-06 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-02-06 | 2020-03-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-06 | 2020-03-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-02-06 | 2020-03-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-06 | 2020-03-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-06 | 2020-03-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-06 | 2020-03-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-06 | 2020-03-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-25 | 2019-04-24 | 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 | 2019-03-25 | 2019-04-24 | 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 | 2019-03-25 | 2019-04-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-25 | 2019-04-24 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-03-21 | 2019-04-23 | 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 | 2019-03-21 | 2019-04-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-21 | 2019-04-23 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-21 | 2019-04-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-03-21 | 2019-04-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-03-21 | 2019-04-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-21 | 2019-04-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-21 | 2019-04-23 | 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 | 2019-03-21 | 2019-04-23 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-03-21 | 2019-04-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-21 | 2019-04-23 | N |
| Provide activities to meet all resident's needs. | Health | 2019-03-21 | 2019-04-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-21 | 2019-04-23 | 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 | 2019-03-21 | 2019-04-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-21 | 2019-04-23 | 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 | 2019-03-21 | 2019-04-23 | 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 | 2019-03-21 | 2019-04-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-03-21 | 2019-04-23 | 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 | 2019-03-21 | 2019-04-23 | 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 | 2019-03-21 | 2019-04-23 | N |
| Provide enough space and equipment to meet each resident's needs | Health | 2019-03-21 | 2019-04-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-21 | 2019-04-23 | N |
