A list of the most recent deficiencies for Kittson Healthcare. 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 residents are fully informed and understand their health status, care and treatments. | Health | 2023-09-29 | 2023-10-20 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-09-29 | 2023-10-20 | Y |
| 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 | 2023-09-29 | 2023-10-20 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-13 | 2023-08-31 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-07-13 | 2023-08-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-13 | 2023-08-31 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-07-13 | 2023-08-31 | 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 | 2023-07-13 | 2023-08-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-07-13 | 2023-08-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-13 | 2023-08-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-13 | 2023-08-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-13 | 2023-08-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-13 | 2023-08-24 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-07-13 | 2023-08-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-13 | 2023-08-24 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-04-20 | 2023-04-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-13 | 2022-05-13 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-04-13 | 2022-05-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-07 | 2022-05-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-06 | 2021-06-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-05-06 | 2021-06-14 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-12-10 | 2020-01-31 | 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 | 2019-12-10 | 2020-01-31 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-12-10 | 2020-01-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-10 | 2020-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-10 | 2020-01-31 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-12-12 | 2020-01-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-10 | 2020-01-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-10 | 2020-01-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-10 | 2019-12-12 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2019-12-10 | 2019-12-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-10 | 2019-12-11 | N |
