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Deficiency Records for Swan Health at Overland Park
View the most recent health deficiencies and inspection results for Swan Health at Overland Park. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Swan Health at Overland Park. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-09-18 | 2025-09-29 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-06 | 2025-06-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-06 | 2025-06-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-06 | 2025-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-06 | 2025-06-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-05-06 | 2025-06-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-05-06 | 2025-06-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-05-06 | 2025-05-30 | 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 | 2025-05-06 | 2025-05-30 | Y |
| Post nurse staffing information every day. | Health | 2025-05-06 | 2025-05-30 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-05-06 | 2025-05-30 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-05-06 | 2025-05-30 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-05-06 | 2025-05-30 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-06 | 2025-05-30 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-05-06 | 2025-05-30 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-05-06 | 2025-05-30 | Y |
| Implement a program that monitors antibiotic use. | Health | 2025-05-06 | 2025-05-30 | 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 | 2025-05-06 | 2025-05-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-03 | 2025-03-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-03-03 | 2025-03-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-03 | 2025-03-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-03 | 2025-03-28 | Y |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2023-09-27 | 2023-12-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-27 | 2023-11-29 | 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 | 2023-09-27 | 2023-11-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-27 | 2023-11-29 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-09-27 | 2023-10-09 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-09-27 | 2023-10-09 | 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 | 2023-09-27 | 2023-10-09 | 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 | 2023-09-27 | 2023-10-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-27 | 2023-10-09 | 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 | 2023-09-27 | 2023-10-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-27 | 2023-10-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-07 | 2022-04-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-07 | 2022-04-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-07 | 2022-04-09 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-02-07 | 2022-04-09 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-02-07 | 2022-04-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-02-07 | 2022-04-09 | 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 | 2022-02-07 | 2022-04-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-07 | 2022-04-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-07 | 2022-04-09 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-02-07 | 2022-04-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-07 | 2022-04-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-07 | 2022-04-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-02-07 | 2022-04-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-07 | 2022-04-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-07 | 2022-04-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-07 | 2022-03-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-02-07 | 2022-03-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-07 | 2022-03-02 | 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 | 2022-02-07 | 2022-03-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-07 | 2022-03-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-07 | 2022-03-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-07 | 2022-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-07 | 2022-03-02 | N |