Deficiency Records for Premier Estates of Kenesaw, LLC
Updated as of November 01, 2021
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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-24 | 2021-09-10 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-08-24 | 2021-09-10 | 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 | 2021-08-24 | 2021-09-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-24 | 2021-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-24 | 2021-09-10 | 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 | 2021-08-23 | 2021-09-10 | 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 | 2021-08-23 | 2021-09-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-23 | 2021-09-10 | 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 | 2021-08-23 | 2021-09-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-23 | 2021-09-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-23 | 2021-09-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-23 | 2021-09-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-23 | 2021-09-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-08-23 | 2021-09-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-08-23 | 2021-09-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-02-03 | 2021-02-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-03 | 2021-02-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-03 | 2021-02-26 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-02-03 | 2021-02-26 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-02-03 | 2021-02-26 | 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 | 2021-02-03 | 2021-02-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-02-03 | 2021-02-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-03 | 2021-02-26 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2021-02-01 | 2021-02-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-02-01 | 2021-02-26 | 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 | 2021-02-01 | 2021-02-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-01 | 2021-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-01 | 2021-02-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-01 | 2021-02-26 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-02-01 | 2021-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-02-01 | 2021-02-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-10-07 | 2020-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-07 | 2020-11-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-10-08 | 2020-11-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-07 | 2020-07-24 | 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 | 2020-02-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-12 | 2020-02-25 | N |
| 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 |
| 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 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 |
| 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 and maintain the bed rail. | 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 necessary and PRN use is limited. | 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 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-06-04 | 2019-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-04 | 2019-07-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-04 | 2019-07-15 | Y |
| 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 |
