A list of the most recent deficiencies for Kingswood. 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 | 2023-09-29 | 2023-11-13 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-09-29 | 2023-11-13 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-09-29 | 2023-11-13 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-09-29 | 2023-11-13 | 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 | 2023-09-29 | 2023-11-13 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-09-29 | 2023-11-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-29 | 2023-11-13 | 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 | 2023-09-29 | 2023-11-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-29 | 2023-11-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-29 | 2023-11-13 | N |
| Provide or obtain dental services for each resident. | Health | 2023-09-29 | 2023-11-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-29 | 2023-11-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-29 | 2023-11-13 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-09-29 | 2023-11-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-29 | 2023-11-13 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-09-29 | 2023-11-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-29 | 2023-11-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-29 | 2023-11-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-29 | 2023-11-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-29 | 2023-11-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-29 | 2023-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-29 | 2023-11-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-09-29 | 2023-11-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-29 | 2023-11-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-29 | 2023-11-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-29 | 2023-11-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-29 | 2023-11-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-09-29 | 2023-11-13 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-01-23 | 2023-03-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-22 | 2022-06-06 | 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 | 2022-04-22 | 2022-06-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-22 | 2022-06-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-22 | 2022-06-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-22 | 2022-06-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-22 | 2022-06-06 | 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 | 2022-04-22 | 2022-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-22 | 2022-06-06 | 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 | 2022-04-22 | 2022-06-06 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-04-22 | 2022-06-06 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-04-22 | 2022-06-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-22 | 2022-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-22 | 2022-06-06 | N |
| Have an externally vented heating system. | Fire Safety | 2022-04-22 | 2022-06-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-22 | 2022-06-06 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2022-04-22 | 2022-06-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-22 | 2022-06-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-22 | 2022-06-06 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-04-22 | 2022-06-06 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-09-03 | 2019-10-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-03 | 2019-10-13 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-09-03 | 2019-10-13 | 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 | 2019-09-03 | 2019-10-13 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-09-03 | 2019-10-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-03 | 2019-10-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-03 | 2019-10-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-09-03 | 2019-10-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-03 | 2019-10-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-03 | 2019-10-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-03 | 2019-10-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-03 | 2019-10-13 | N |
