A list of the most recent deficiencies for The Healthcare Resort of Topeka. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-11 | 2022-11-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-11 | 2022-11-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-11 | 2022-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-11 | 2022-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-11 | 2022-11-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-08-31 | 2022-09-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-31 | 2022-09-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-31 | 2022-09-30 | 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 | 2022-08-31 | 2022-09-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-31 | 2022-09-30 | 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 | 2022-08-31 | 2022-09-30 | 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 | 2022-08-31 | 2022-09-30 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| 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 | 2021-07-28 | 2021-08-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-28 | 2021-08-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-06-02 | 2021-06-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-02 | 2021-06-29 | 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 | 2019-11-06 | 2019-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-06 | 2019-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-06 | 2019-11-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-08-21 | 2019-10-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-08-21 | 2019-10-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-21 | 2019-10-01 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-08-21 | 2019-10-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-21 | 2019-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-21 | 2019-10-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-21 | 2019-10-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-21 | 2019-10-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-21 | 2019-10-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-21 | 2019-10-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-21 | 2019-10-01 | N |
