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Deficiency Records for Diversicare of Council Grove
View the most recent health deficiencies and inspection results for Diversicare of Council Grove. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Diversicare of Council Grove. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-08 | 2025-07-30 | 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 | 2025-07-08 | 2025-07-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-08 | 2025-07-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-08 | 2025-07-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-07-08 | 2025-07-30 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-06-12 | 2025-06-18 | 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 | 2024-08-28 | 2024-11-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-28 | 2024-11-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-08-28 | 2024-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-28 | 2024-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-28 | 2024-11-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-28 | 2024-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-28 | 2024-11-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-28 | 2024-11-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-28 | 2024-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-28 | 2024-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-28 | 2024-11-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-28 | 2024-11-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-08-28 | 2024-11-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-28 | 2024-11-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-28 | 2024-10-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-28 | 2024-10-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-28 | 2024-10-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-28 | 2024-10-03 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-08-28 | 2024-10-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-08-28 | 2024-10-03 | N |
| Post nurse staffing information every day. | Health | 2024-08-28 | 2024-10-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-28 | 2024-10-03 | 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 | 2024-08-28 | 2024-10-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-28 | 2024-10-03 | 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 | 2024-08-28 | 2024-10-03 | N |
| Use approved construction type or materials. | Fire Safety | 2022-12-05 | 2023-01-27 | 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 | 2022-12-05 | 2023-01-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-05 | 2023-01-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-05 | 2023-01-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-05 | 2023-01-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-05 | 2023-01-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-05 | 2023-01-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-05 | 2023-01-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-05 | 2023-01-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-05 | 2023-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-05 | 2023-01-11 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-12-05 | 2023-01-11 | 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 | 2022-12-05 | 2023-01-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-05 | 2023-01-11 | 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 | 2022-12-05 | 2023-01-11 | 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 | 2022-12-05 | 2023-01-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-02 | 2021-05-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-02 | 2021-05-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-03-02 | 2021-05-25 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-03-02 | 2021-05-25 | N |
| Develop a communication plan. | Fire Safety | 2021-03-02 | 2021-05-25 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-03-02 | 2021-05-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-03-02 | 2021-05-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-03-02 | 2021-05-25 | 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 | 2021-03-02 | 2021-05-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-03-02 | 2021-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-02 | 2021-05-25 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-03-02 | 2021-05-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-02 | 2021-05-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-02 | 2021-05-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-02 | 2021-05-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-02 | 2021-05-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-02 | 2021-05-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-02 | 2021-03-24 | 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 | 2021-03-02 | 2021-03-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-02 | 2021-03-24 | N |