A list of the most recent deficiencies for Kingsbrook Lifecare Center. 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? |
|---|---|---|---|---|
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-03-26 | 2019-05-10 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2019-03-26 | 2019-05-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-03-28 | 2019-04-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-28 | 2019-04-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-28 | 2019-04-19 | 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 | 2019-03-28 | 2019-04-19 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-03-28 | 2019-04-19 | 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 | 2019-03-28 | 2019-04-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-28 | 2019-04-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-28 | 2019-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-28 | 2019-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-28 | 2019-04-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-26 | 2019-04-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-12 | 2018-05-11 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-02-23 | 2017-04-14 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-02-23 | 2017-04-14 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-23 | 2017-04-14 | N |
| Provide housekeeping and maintenance services. | Health | 2017-02-23 | 2017-04-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-23 | 2017-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-23 | 2017-04-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-02-23 | 2017-04-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2017-02-23 | 2017-04-10 | 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 | 2017-02-23 | 2017-03-23 | N |
