A list of the most recent deficiencies for Azria Health Wichita. 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? |
---|---|---|---|---|
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-05 | 2023-12-12 | 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 | 2022-08-08 | 2022-08-23 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-08 | 2022-08-23 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-27 | 2022-07-21 | Y |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-06-27 | 2022-07-21 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-27 | 2022-07-21 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-27 | 2022-07-21 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-27 | 2022-07-21 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-27 | 2022-07-21 | Y |
Post nurse staffing information every day. | Health | 2022-06-27 | 2022-07-21 | 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 | 2022-06-27 | 2022-07-21 | 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 | 2022-06-27 | 2022-07-21 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-27 | 2022-07-21 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-06-27 | 2022-07-21 | Y |
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2022-06-27 | 2022-07-21 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-04 | 2022-01-31 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-20 | 2021-10-16 | Y |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-18 | 2021-04-07 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-09-22 | 2020-10-29 | N |
Provide and implement an infection prevention and control program. | Health | 2020-09-22 | 2020-10-29 | N |