Deficiency Records for Keystone Ridge Post Acute Nursing and Rehab
Updated as of March 01, 2024
A list of the most recent deficiencies for Keystone Ridge Post Acute Nursing and Rehab. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-03-13 | 2023-05-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-13 | 2023-05-11 | 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 | 2023-03-13 | 2023-05-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-13 | 2023-05-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-03-13 | 2023-05-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-03-13 | 2023-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-13 | 2023-05-11 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-03-13 | 2023-05-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-13 | 2023-05-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-13 | 2023-05-11 | 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 | 2023-03-09 | 2023-05-03 | 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 | 2023-03-09 | 2023-05-03 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-03-13 | 2023-04-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-13 | 2023-04-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-13 | 2023-04-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-31 | 2022-05-12 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-31 | 2022-05-12 | Y |
| 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 | 2021-11-11 | 2021-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-11 | 2021-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-11 | 2021-12-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-11 | 2021-12-21 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2021-11-08 | 2021-12-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-08 | 2021-12-21 | 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 | 2021-11-08 | 2021-12-21 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-11-08 | 2021-12-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-08 | 2021-12-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-08 | 2021-12-21 | 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 | 2021-11-08 | 2021-12-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-08 | 2021-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-08 | 2021-12-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-08 | 2021-12-21 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-11-08 | 2021-12-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-08 | 2021-12-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-08 | 2021-12-21 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-11-08 | 2021-12-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-11-08 | 2021-12-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-08 | 2021-12-21 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-11-08 | 2021-12-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-08 | 2021-12-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-11-08 | 2021-12-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-08 | 2021-12-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-08 | 2021-12-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-07-21 | 2020-08-27 | 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 | 2020-07-21 | 2020-08-27 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2020-07-27 | 2020-08-21 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-07-27 | 2020-08-21 | 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 | 2020-07-27 | 2020-08-21 | 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 | 2020-07-27 | 2020-08-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-07-27 | 2020-08-21 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2020-07-27 | 2020-08-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-07-27 | 2020-08-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-07-27 | 2020-08-21 | N |
