Deficiency Records for Kensington Healthcare Center
Updated as of September 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 |
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 |
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 |