A list of the most recent deficiencies for Holiday Resort of Salina. 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? |
|---|---|---|---|---|
| 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 | 2023-12-12 | 2024-01-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-12 | 2024-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-12 | 2024-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-12 | 2024-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-12 | 2024-01-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-12 | 2024-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-12 | 2024-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-12 | 2024-01-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-12 | 2024-01-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-12 | 2024-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-12 | 2024-01-31 | 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 | 2023-11-07 | 2023-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-07 | 2023-12-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-07 | 2023-12-06 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-11-07 | 2023-12-06 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-11-07 | 2023-12-06 | N |
| Keep all essential equipment working safely. | Health | 2023-11-07 | 2023-12-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-04 | 2023-09-27 | 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 | 2022-05-24 | 2022-06-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-24 | 2022-06-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-24 | 2022-06-24 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-05-24 | 2022-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-24 | 2022-06-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-24 | 2022-06-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-24 | 2022-06-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-24 | 2022-06-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-24 | 2022-06-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-24 | 2022-06-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-24 | 2022-06-24 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-04-13 | 2022-05-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-13 | 2022-05-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-13 | 2022-05-10 | Y |
| 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 | 2022-04-13 | 2022-05-10 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-13 | 2022-05-10 | Y |
| 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 | 2022-04-13 | 2022-05-10 | Y |
| Post nurse staffing information every day. | Health | 2022-04-13 | 2022-05-10 | 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 | 2022-04-13 | 2022-05-10 | Y |
| 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 | 2022-04-13 | 2022-05-10 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-04-13 | 2022-05-10 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-13 | 2022-05-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-13 | 2022-05-10 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-05-06 | 2021-05-14 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-12-16 | 2021-01-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-12-16 | 2021-01-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-12-16 | 2021-01-31 | 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 | 2020-12-16 | 2021-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-12-16 | 2021-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-12-16 | 2021-01-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-12-16 | 2021-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-12-16 | 2021-01-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-12-16 | 2021-01-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-12-16 | 2021-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-12-16 | 2021-01-31 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2020-12-16 | 2021-01-31 | 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 | 2020-10-22 | 2020-11-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-22 | 2020-11-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-10-22 | 2020-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-22 | 2020-11-16 | N |
