Deficiency Records for Corewell Health Rehab and Nursing Center - Kentridge
Updated as of April 01, 2024
A list of the most recent deficiencies for Corewell Health Rehab and Nursing Center - Kentridge. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-07 | 2023-11-30 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-07-12 | 2023-08-07 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-07-12 | 2023-08-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-12 | 2023-08-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-12 | 2023-08-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-12 | 2023-08-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-12 | 2023-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-12 | 2023-08-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-12 | 2023-08-07 | 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 | 2023-07-11 | 2023-08-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-11 | 2023-08-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-17 | 2022-04-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-17 | 2022-04-18 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-03-17 | 2022-04-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-17 | 2022-04-18 | 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 | 2022-03-22 | 2022-04-18 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-03-22 | 2022-04-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-03-22 | 2022-04-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-22 | 2022-04-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-22 | 2022-04-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-03-22 | 2022-04-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-22 | 2022-04-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-22 | 2022-04-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-22 | 2022-04-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-02 | 2021-12-21 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-09-29 | 2021-10-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-13 | 2020-03-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-13 | 2020-03-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-13 | 2020-03-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-13 | 2020-03-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-13 | 2020-03-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-13 | 2020-03-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-13 | 2020-03-18 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-02-13 | 2020-03-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-03-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-13 | 2020-03-18 | 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 | 2020-02-19 | 2020-03-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-19 | 2020-03-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-19 | 2020-03-18 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2020-02-19 | 2020-03-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-19 | 2020-03-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-19 | 2020-03-18 | N |
