A list of the most recent deficiencies for Kiowa Hospital District Manor. 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? |
|---|---|---|---|---|
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Develop a communication plan. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-06 | 2024-03-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-04 | 2024-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-04 | 2024-02-14 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-01-04 | 2024-02-14 | 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 | 2022-03-15 | 2022-03-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-15 | 2022-03-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-15 | 2022-03-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-16 | 2022-03-18 | N |
| 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 | 2022-02-16 | 2022-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-16 | 2022-03-18 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-02-13 | 2020-03-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-13 | 2020-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-13 | 2020-03-20 | 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 | 2020-02-13 | 2020-03-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-16 | 2020-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-16 | 2020-02-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-16 | 2020-02-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-16 | 2020-02-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-16 | 2020-02-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-16 | 2020-01-16 | N |
