A list of the most recent deficiencies for Kearny County Hospital Ltcu. 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 | 2023-01-18 | 2023-02-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-18 | 2023-02-25 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-01-18 | 2023-01-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-07 | 2023-01-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-12-07 | 2023-01-11 | N |
| 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 | 2022-12-07 | 2023-01-11 | 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 | 2022-12-07 | 2023-01-11 | 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 | 2022-12-07 | 2023-01-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-12-07 | 2023-01-11 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-12-07 | 2023-01-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-31 | 2021-08-24 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-15 | 2021-08-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-15 | 2021-08-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-15 | 2021-08-06 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-07-15 | 2021-07-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-27 | 2021-06-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-27 | 2021-06-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-27 | 2021-06-02 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-12-05 | 2019-12-30 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-12-05 | 2019-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-05 | 2019-12-30 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-10-22 | 2019-11-19 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-10-22 | 2019-11-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-22 | 2019-11-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-22 | 2019-11-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-22 | 2019-11-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-22 | 2019-11-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-22 | 2019-11-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-22 | 2019-11-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-22 | 2019-11-19 | N |
