Deficiency Records for Baptist Homes of Independence
Updated as of March 01, 2023
This is not the most recent data for Baptist Homes of Independence. For the most recent information, click here.
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 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 |
| Have exits that are accessible at all times. | Fire Safety | 2019-01-29 | 2019-06-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-29 | 2019-03-15 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-01-29 | 2019-03-15 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-01-29 | 2019-03-15 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-01-29 | 2019-03-15 | N |
| Respond appropriately to all alleged violations. | Health | 2019-01-29 | 2019-03-15 | 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 | 2019-01-29 | 2019-03-15 | N |
| Provide activities to meet all resident's needs. | Health | 2019-01-29 | 2019-03-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-29 | 2019-03-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-29 | 2019-03-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-01-29 | 2019-03-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-29 | 2019-03-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-01-29 | 2019-03-15 | 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 | 2019-01-29 | 2019-03-15 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-01-29 | 2019-03-15 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-01-29 | 2019-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-29 | 2019-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-29 | 2019-03-15 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2019-01-29 | 2019-03-15 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-01-29 | 2019-03-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-01-29 | 2019-03-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-01-29 | 2019-03-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-01-29 | 2019-03-15 | N |
| Use approved construction type or materials. | Fire Safety | 2019-01-29 | 2019-03-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-29 | 2019-03-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-01-29 | 2019-03-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-01-29 | 2019-03-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-29 | 2019-03-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-29 | 2019-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-29 | 2019-03-15 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-01-29 | 2019-03-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-29 | 2019-03-15 | N |
