Deficiency Records for Kensington Healthcare Center
Updated as of October 01, 2016
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-20 | 2016-05-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-20 | 2016-05-24 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-03-22 | 2016-05-10 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-03-22 | 2016-05-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-03-22 | 2016-05-10 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-03-22 | 2016-05-10 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-03-22 | 2016-05-10 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-03-22 | 2016-05-10 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-03-22 | 2016-05-10 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-03-22 | 2016-05-10 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-03-22 | 2016-05-10 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-03-22 | 2016-05-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-03-22 | 2016-05-10 | Y |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-03-22 | 2016-05-10 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-22 | 2016-05-10 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-22 | 2016-05-10 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-03-22 | 2016-05-10 | Y |
| 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 | 2016-03-22 | 2016-05-10 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-03-22 | 2016-05-10 | 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 | 2016-03-22 | 2016-05-10 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-03-22 | 2016-05-10 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-03-22 | 2016-05-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-03-22 | 2016-05-10 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-03-22 | 2016-05-10 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-03-22 | 2016-05-10 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-03-22 | 2016-05-10 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-03-22 | 2016-05-10 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-03-22 | 2016-05-10 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-03-22 | 2016-05-10 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-03-22 | 2016-05-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-03-22 | 2016-05-10 | Y |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-03-22 | 2016-05-10 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-22 | 2016-05-10 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-22 | 2016-05-10 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-03-22 | 2016-05-10 | Y |
| 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 | 2016-03-22 | 2016-05-10 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-03-22 | 2016-05-10 | 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 | 2016-03-22 | 2016-05-10 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-03-15 | 2016-05-04 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-03-15 | 2016-05-04 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-03-15 | 2016-04-25 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-03-15 | 2016-04-25 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-03-15 | 2016-04-25 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-03-15 | 2016-04-25 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-07-20 | 2016-04-03 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-07-20 | 2016-04-03 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-11-24 | 2015-12-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-11-24 | 2015-12-16 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-11-24 | 2015-12-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-11-24 | 2015-12-16 | 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 | 2015-09-22 | 2015-10-12 | Y |
| Provide adequate and comfortable lighting levels in all areas. | Health | 2015-09-22 | 2015-10-12 | Y |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2015-09-22 | 2015-10-12 | 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 | 2015-09-22 | 2015-10-12 | Y |
| Provide adequate and comfortable lighting levels in all areas. | Health | 2015-09-22 | 2015-10-12 | Y |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2015-09-22 | 2015-10-12 | Y |
| Exits that are accessible at all times. | Fire Safety | 2015-03-25 | 2015-06-26 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-03-25 | 2015-06-26 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2015-06-15 | 2015-06-24 | Y |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2015-06-15 | 2015-06-24 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-03-25 | 2015-05-31 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-03-25 | 2015-05-31 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-03-25 | 2015-05-31 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-03-25 | 2015-05-31 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-03-25 | 2015-05-31 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-03-25 | 2015-05-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-04-06 | 2015-05-01 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-04-06 | 2015-05-01 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-04-06 | 2015-05-01 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-04-06 | 2015-05-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-04-06 | 2015-05-01 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-04-06 | 2015-05-01 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-04-06 | 2015-05-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-06 | 2015-05-01 | Y |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2015-04-06 | 2015-05-01 | 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 | 2015-04-06 | 2015-05-01 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-04-06 | 2015-05-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-04-06 | 2015-05-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-04-06 | 2015-05-01 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-04-06 | 2015-05-01 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-04-06 | 2015-05-01 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-04-06 | 2015-05-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-04-06 | 2015-05-01 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-04-06 | 2015-05-01 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-04-06 | 2015-05-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-06 | 2015-05-01 | Y |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2015-04-06 | 2015-05-01 | 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 | 2015-04-06 | 2015-05-01 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-04-06 | 2015-05-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-04-06 | 2015-05-01 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-12-10 | 2014-12-31 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-12-10 | 2014-12-31 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-05-23 | 2014-06-12 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-05-23 | 2014-06-12 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-04-01 | 2014-04-15 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2014-04-01 | 2014-04-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-04-01 | 2014-04-15 | N |
| Portable fire extinguishers. | Fire Safety | 2014-04-01 | 2014-04-15 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-04-01 | 2014-04-15 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2014-03-21 | 2014-04-15 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-03-21 | 2014-04-15 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-03-21 | 2014-04-15 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-03-21 | 2014-04-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-03-21 | 2014-04-15 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-03-21 | 2014-04-15 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-03-21 | 2014-04-15 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-03-21 | 2014-04-15 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2014-03-21 | 2014-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-03-21 | 2014-04-15 | Y |
| 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 | 2014-03-21 | 2014-04-15 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2014-03-21 | 2014-04-15 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-03-21 | 2014-04-15 | Y |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2014-03-21 | 2014-04-15 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-03-21 | 2014-04-15 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-03-21 | 2014-04-15 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-04-01 | 2014-04-15 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2014-04-01 | 2014-04-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-04-01 | 2014-04-15 | N |
| Portable fire extinguishers. | Fire Safety | 2014-04-01 | 2014-04-15 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-04-01 | 2014-04-15 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2014-03-21 | 2014-04-15 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-03-21 | 2014-04-15 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-03-21 | 2014-04-15 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-03-21 | 2014-04-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-03-21 | 2014-04-15 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-03-21 | 2014-04-15 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-03-21 | 2014-04-15 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-03-21 | 2014-04-15 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2014-03-21 | 2014-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-03-21 | 2014-04-15 | Y |
| 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 | 2014-03-21 | 2014-04-15 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2014-03-21 | 2014-04-15 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-03-21 | 2014-04-15 | Y |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2014-03-21 | 2014-04-15 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-03-21 | 2014-04-15 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-03-21 | 2014-04-15 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-02-21 | 2014-04-02 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-02-21 | 2014-04-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2013-11-27 | 2013-12-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2013-11-27 | 2013-12-16 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2015-12-09 | Not Fixed | Y |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2015-12-09 | Not Fixed | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2015-12-09 | Not Fixed | Y |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2015-12-09 | Not Fixed | Y |
