Deficiency Records for Premier Estates of Kenesaw, LLC
Updated as of March 01, 2020
This is not the most recent data for Premier Estates of Kenesaw, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Premier Estates of Kenesaw, LLC. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-12 | 2020-01-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-09-12 | 2020-01-20 | 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 | 2019-09-12 | 2020-01-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-09-12 | 2020-01-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-12 | 2020-01-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-09-12 | 2020-01-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-12 | 2020-01-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Develop a communication plan. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Establish methods for sharing information. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-12 | 2019-10-27 | N |
| Meet other general requirements. | Fire Safety | 2019-09-09 | 2019-10-27 | 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 | 2019-09-09 | 2019-10-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-09 | 2019-10-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-09 | 2019-10-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-09 | 2019-10-27 | N |
| Be properly staffed | Fire Safety | 2019-09-09 | 2019-10-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-09-09 | 2019-10-27 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-09-12 | 2019-10-27 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-09-12 | 2019-10-27 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-09-12 | 2019-10-27 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-09-12 | 2019-10-27 | 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 | 2019-09-12 | 2019-10-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-12 | 2019-10-27 | 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 | 2019-09-12 | 2019-10-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-09-12 | 2019-10-27 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-09-12 | 2019-10-27 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-09-12 | 2019-10-27 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-09-12 | 2019-10-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-12 | 2019-10-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-12 | 2019-10-27 | 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 | 2019-09-12 | 2019-10-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-12 | 2019-10-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-12 | 2019-10-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-12 | 2019-10-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-09-12 | 2019-10-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-12 | 2019-10-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-12 | 2019-10-27 | 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 | Health | 2019-09-12 | 2019-10-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-09-12 | 2019-10-27 | N |
| 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 ne | Health | 2019-09-12 | 2019-10-27 | N |
| Provide or obtain dental services for each resident. | Health | 2019-09-12 | 2019-10-27 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-09-12 | 2019-10-27 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-09-12 | 2019-10-27 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-09-12 | 2019-10-27 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-09-12 | 2019-10-27 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-09-12 | 2019-10-27 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-09-12 | 2019-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-12 | 2019-10-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-09-12 | 2019-10-27 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-09-12 | 2019-10-27 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-09-12 | 2019-10-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-13 | 2018-12-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-13 | 2018-12-21 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2018-07-31 | 2018-09-10 | 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 | 2018-07-31 | 2018-09-10 | 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 | 2018-07-31 | 2018-09-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-07-31 | 2018-09-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-31 | 2018-09-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-07-31 | 2018-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-31 | 2018-09-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-07-31 | 2018-09-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-07-31 | 2018-09-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-31 | 2018-09-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-07-31 | 2018-09-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-07-31 | 2018-09-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-31 | 2018-09-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-07-31 | 2018-09-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-31 | 2018-09-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-07-31 | 2018-09-10 | 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 | 2018-08-02 | 2018-09-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-08-02 | 2018-09-10 | 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 | 2018-08-02 | 2018-09-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-02 | 2018-09-10 | 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 | 2018-08-02 | 2018-09-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-02 | 2018-09-10 | 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 | 2018-08-02 | 2018-09-10 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-08-02 | 2018-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-02 | 2018-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-02 | 2018-09-10 | 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 | 2018-02-22 | 2018-04-02 | Y |
| Assess the resident when there is a significant change in condition | Health | 2018-02-22 | 2018-04-02 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-02-22 | 2018-04-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-22 | 2018-04-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-06 | 2017-09-29 | Y |
| Meet other general requirements. | Fire Safety | 2017-06-21 | 2017-07-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-06-21 | 2017-07-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-06-21 | 2017-07-28 | 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 | 2017-06-21 | 2017-07-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-06-21 | 2017-07-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-06-21 | 2017-07-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-21 | 2017-07-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-06-21 | 2017-07-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-21 | 2017-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-06-21 | 2017-07-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-06-21 | 2017-07-28 | N |
| Tell 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 | 2017-06-20 | 2017-07-28 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-06-20 | 2017-07-28 | N |
| Provide housekeeping and maintenance services. | Health | 2017-06-20 | 2017-07-28 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-06-20 | 2017-07-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-20 | 2017-07-28 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-06-20 | 2017-07-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-20 | 2017-07-28 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-06-20 | 2017-07-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-20 | 2017-07-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-06-20 | 2017-07-28 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-20 | 2017-07-28 | Y |
