Deficiency Records for Kensington Healthcare Center
Updated as of August 01, 2020
This is not the most recent data for Kensington Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Kensington Healthcare 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? |
|---|---|---|---|---|
| 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 | 2020-01-08 | 2020-03-05 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-09-03 | 2019-09-17 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-09-03 | 2019-09-17 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-09-03 | 2019-09-17 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2019-04-17 | 2019-05-07 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-03-14 | 2019-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-14 | 2019-04-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-28 | 2019-03-27 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-02-28 | 2019-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-28 | 2019-03-27 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-02-28 | 2019-03-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-28 | 2019-03-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-23 | 2018-10-29 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-09-20 | 2018-10-29 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-05-18 | 2018-06-27 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-05-18 | 2018-06-27 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-05-18 | 2018-06-27 | Y |
| Meet other general requirements. | Fire Safety | 2018-02-22 | 2018-04-03 | 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 | 2018-02-22 | 2018-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-22 | 2018-04-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-02-22 | 2018-04-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-22 | 2018-04-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-02-22 | 2018-04-03 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-02-22 | 2018-04-03 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-02-22 | 2018-04-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-22 | 2018-04-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-02-22 | 2018-04-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-02-22 | 2018-04-03 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2018-02-16 | 2018-03-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-02-16 | 2018-03-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-02-16 | 2018-03-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-16 | 2018-03-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-16 | 2018-03-23 | 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 | 2018-02-16 | 2018-03-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-16 | 2018-03-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-16 | 2018-03-23 | N |
| Provide activities to meet all resident's needs. | Health | 2018-02-16 | 2018-03-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-16 | 2018-03-23 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-02-16 | 2018-03-23 | N |
| Provide or obtain dental services for each resident. | Health | 2018-02-16 | 2018-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-16 | 2018-03-23 | N |
| Dispose of garbage and refuse properly. | Health | 2018-02-16 | 2018-03-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-16 | 2018-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-16 | 2018-03-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-02-16 | 2018-03-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-02-16 | 2018-03-23 | 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 | 2018-02-16 | 2018-03-23 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-02-16 | 2018-03-23 | Y |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2017-04-18 | 2017-06-23 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-04-18 | 2017-06-23 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-04-18 | 2017-06-09 | Y |
| 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 | 2017-04-18 | 2017-06-09 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-04-18 | 2017-06-09 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-02-21 | 2017-04-07 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-02-21 | 2017-04-07 | N |
| Allow residents to have visitors. | Health | 2017-02-21 | 2017-04-07 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-02-21 | 2017-04-07 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-21 | 2017-04-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-02-21 | 2017-04-07 | N |
| Give notice to the resident before a room or roommate change. | Health | 2017-02-21 | 2017-04-07 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-02-21 | 2017-04-07 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-02-21 | 2017-04-07 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-02-21 | 2017-04-07 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-21 | 2017-04-07 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-02-21 | 2017-04-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-02-21 | 2017-04-07 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-21 | 2017-04-07 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-02-21 | 2017-04-07 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-21 | 2017-04-07 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-02-21 | 2017-04-07 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-02-21 | 2017-04-07 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-02-21 | 2017-04-07 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-02-21 | 2017-04-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-21 | 2017-04-07 | N |
| Provide or obtain dental services for each resident. | Health | 2017-02-21 | 2017-04-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-21 | 2017-04-07 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-02-21 | 2017-04-07 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-21 | 2017-04-07 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-18 | 2016-12-05 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-18 | 2016-11-16 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-06 | Not Fixed | Y |
