A list of the most recent deficiencies for Baptist Homes of Independence. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-05 | 2023-07-31 | 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 | 2023-06-05 | 2023-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-05 | 2023-07-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-06-05 | 2023-07-31 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-06-05 | 2023-07-27 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-06-05 | 2023-07-14 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-06-05 | 2023-07-14 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-06-05 | 2023-07-14 | N |
| 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 | 2023-06-05 | 2023-07-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-06-05 | 2023-07-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-06-05 | 2023-07-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-05 | 2023-07-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-05 | 2023-07-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-05 | 2023-07-14 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-06-05 | 2023-07-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-05 | 2023-07-14 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-06-05 | 2023-07-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-05 | 2023-07-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-05 | 2023-07-14 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-06-05 | 2023-07-14 | N |
| Respond appropriately to all alleged violations. | Health | 2023-06-05 | 2023-07-14 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-06-05 | 2023-07-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-05 | 2023-07-14 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-05 | 2023-07-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-06-05 | 2023-07-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-06-05 | 2023-07-14 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-06-05 | 2023-07-14 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-06-05 | 2023-07-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-06-05 | 2023-07-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-05 | 2023-07-14 | 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 | 2023-06-05 | 2023-07-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-06-05 | 2023-07-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-05 | 2023-07-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-05 | 2023-07-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-05 | 2023-07-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-05 | 2023-07-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-05 | 2023-07-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-05 | 2023-07-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-05 | 2023-07-14 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-06-05 | 2023-07-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-05 | 2023-07-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-06-05 | 2023-07-14 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-08-09 | 2021-09-23 | N |
| Post nurse staffing information every day. | Health | 2021-08-09 | 2021-09-23 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-08-09 | 2021-09-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-09 | 2021-09-23 | N |
| Keep all essential equipment working safely. | Health | 2021-08-09 | 2021-09-23 | 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 | 2021-08-09 | 2021-09-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-09 | 2021-09-23 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-08-09 | 2021-09-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-09 | 2021-09-23 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-08-09 | 2021-09-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-09 | 2021-09-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-09 | 2021-09-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-09 | 2021-09-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-09 | 2021-09-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-09 | 2021-09-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-09 | 2021-09-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-30 | 2019-12-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-30 | 2019-12-14 | N |
| 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 | 2019-10-30 | 2019-12-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-30 | 2019-12-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-30 | 2019-12-14 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-10-30 | 2019-12-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-10-30 | 2019-12-14 | N |
| Provide or obtain dental services for each resident. | Health | 2019-10-30 | 2019-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-30 | 2019-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-30 | 2019-12-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-30 | 2019-12-14 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-30 | 2019-12-14 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-10-30 | 2019-12-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-10-30 | 2019-12-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-30 | 2019-12-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-30 | 2019-12-14 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-10-30 | 2019-12-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-30 | 2019-12-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-30 | 2019-12-14 | N |
