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 |