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Deficiency Records for Chase County Care and Rehab
A list of the most recent deficiencies for Chase County Care and Rehab. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Chase County Care and Rehab. 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? |
|---|---|---|---|---|
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-06-26 | 2024-07-05 | 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 | 2024-02-01 | 2024-03-12 | 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 | 2024-02-01 | 2024-03-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-01 | 2024-03-12 | 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 | 2024-02-01 | 2024-03-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-02-01 | 2024-03-12 | 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 | 2024-02-01 | 2024-03-12 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-02-01 | 2024-03-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-01 | 2024-03-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-01 | 2024-03-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-01 | 2024-03-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-01 | 2024-03-12 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-01 | 2024-03-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-01 | 2024-03-12 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-06 | 2024-03-11 | 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 | 2024-02-06 | 2024-03-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-06 | 2024-03-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-06 | 2024-03-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-06 | 2024-03-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-06 | 2024-03-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-06 | 2024-03-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-06 | 2024-03-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-06 | 2024-03-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-06 | 2023-09-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-06 | 2023-09-22 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-06 | 2023-09-22 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-05-25 | 2022-07-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-05-25 | 2022-07-01 | 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 | 2022-05-25 | 2022-07-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-25 | 2022-07-01 | 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 | 2022-05-25 | 2022-07-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-25 | 2022-07-01 | 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 | 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 |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-25 | 2022-07-01 | 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 | 2022-05-25 | 2022-07-01 | 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 | 2022-03-02 | 2022-04-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-02 | 2022-04-01 | 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 | 2022-03-02 | 2022-04-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-02 | 2022-04-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-02 | 2022-04-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-02 | 2022-04-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-02 | 2022-04-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-02 | 2022-04-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-02 | 2022-04-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-02 | 2022-04-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-02 | 2022-04-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-02 | 2022-04-01 | 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 | 2020-09-09 | 2020-10-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-09 | 2020-10-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-09-09 | 2020-10-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-09-09 | 2020-10-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-03-04 | 2020-04-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-04 | 2020-04-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-04 | 2020-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-04 | 2020-04-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-04 | 2020-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-04 | 2020-04-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-04 | 2020-04-03 | N |
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