Deficiency Records for Ignite Medical Resort A Ptr of The Univ of Kansas
Updated as of April 01, 2024
A list of the most recent deficiencies for Ignite Medical Resort A Ptr of The Univ of Kansas. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-12 | 2023-10-05 | 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 | 2023-09-12 | 2023-10-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-12 | 2023-10-05 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-08 | 2023-08-23 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-08 | 2023-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-08 | 2023-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-08 | 2023-03-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-08 | 2023-03-15 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-02-08 | 2023-03-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-08 | 2023-03-15 | 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 | 2023-01-05 | 2023-02-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-05 | 2023-02-08 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-01-05 | 2023-02-08 | 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 | 2023-01-05 | 2023-02-08 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-05 | 2023-02-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-05 | 2023-02-08 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-01-05 | 2023-02-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-05 | 2023-02-08 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-04 | 2021-08-26 | 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 | 2021-08-04 | 2021-08-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-09 | 2021-07-27 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-07-09 | 2021-07-27 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-07-09 | 2021-07-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-09 | 2021-07-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-09 | 2021-07-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-09 | 2021-07-27 | Y |
| Provide appropriate foot care. | Health | 2021-07-09 | 2021-07-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-09 | 2021-07-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-09 | 2021-07-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-09 | 2021-07-27 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-01-13 | 2020-01-31 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2020-01-13 | 2020-01-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-13 | 2020-01-31 | 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 | 2020-01-13 | 2020-01-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-13 | 2020-01-31 | 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 | 2020-01-13 | 2020-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-13 | 2020-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-13 | 2020-01-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-06 | 2019-12-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-06 | 2019-12-12 | N |
| Ensure that anesthesia apparatus are tested after any adjustment, modification or repair. | Fire Safety | 2019-12-06 | 2019-12-12 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-20 | Not Fixed | N |
