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Deficiency Records for Awe Kualawaache Care Center
View the most recent health deficiencies and inspection results for Awe Kualawaache Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Awe Kualawaache Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-05-08 | 2025-06-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-08 | 2025-06-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-08 | 2025-06-26 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-05-08 | 2025-06-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-08 | 2025-05-30 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-05-08 | 2025-05-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-12-04 | 2024-12-30 | 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 | 2024-12-04 | 2024-12-30 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-12-04 | 2024-12-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-30 | 2024-08-23 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-07-30 | 2024-08-23 | 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 | 2024-07-30 | 2024-08-23 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-07-30 | 2024-08-23 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-07-30 | 2024-08-23 | Y |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-04-25 | 2024-05-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-25 | 2024-05-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-25 | 2024-05-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-25 | 2024-05-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-25 | 2024-05-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-04-25 | 2024-05-16 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-04-25 | 2024-05-16 | N |
| 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 | 2024-04-25 | 2024-05-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-27 | 2023-05-31 | 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 | 2023-04-27 | 2023-05-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-27 | 2023-05-31 | 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 | 2023-04-27 | 2023-05-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-27 | 2023-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-27 | 2023-05-23 | 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 | 2023-04-27 | 2023-05-23 | N |