Deficiency Records for The Healthcare Resort of Leawood - Iron Horse Hlth
Updated as of March 01, 2024
A list of the most recent deficiencies for The Healthcare Resort of Leawood - Iron Horse Hlth. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-19 | 2024-01-26 | 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 | 2023-12-19 | 2024-01-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-12-19 | 2024-01-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-19 | 2024-01-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-19 | 2024-01-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-19 | 2024-01-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-19 | 2024-01-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-19 | 2024-01-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-19 | 2024-01-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-16 | 2023-12-15 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-11-16 | 2023-12-15 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-11-16 | 2023-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-16 | 2023-12-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-16 | 2023-12-15 | 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 | 2023-11-16 | 2023-12-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-16 | 2023-12-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-16 | 2023-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-12-15 | 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 | 2023-11-16 | 2023-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-23 | 2022-07-14 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-07 | 2022-04-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-07 | 2022-04-08 | 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 | 2022-03-07 | 2022-04-08 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-03-07 | 2022-04-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-03-07 | 2022-04-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-07 | 2022-04-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-07 | 2022-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-07 | 2022-04-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-07 | 2022-04-08 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-02-08 | 2022-03-09 | 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 | 2022-02-08 | 2022-03-09 | 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 | 2022-02-08 | 2022-03-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-08 | 2022-03-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-08 | 2022-03-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-02-08 | 2022-03-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-08 | 2022-03-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-08 | 2022-03-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-08 | 2022-03-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-08 | 2022-03-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-08 | 2022-03-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-08 | 2022-03-09 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-02-08 | 2022-03-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-08 | 2022-03-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-08 | 2022-03-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-26 | 2021-11-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-26 | 2021-11-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-20 | 2021-07-30 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2020-01-21 | 2020-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-21 | 2020-01-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-10-18 | 2019-11-27 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-10-18 | 2019-11-27 | 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 | 2019-10-18 | 2019-11-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-18 | 2019-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-18 | 2019-11-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-18 | 2019-11-27 | N |
