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Deficiency Records for Kirkhaven

View the most recent health deficiencies and inspection results for Kirkhaven. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Kirkhaven. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2026-03-18 2026-05-15 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2026-03-18 2026-05-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-03-18 2026-05-15 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2026-03-18 2026-05-15 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2026-03-18 2026-05-15 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 2025-12-08 2026-02-06 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-12-08 2026-02-06 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-12-08 2026-02-06 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-12-08 2026-02-06 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-07-16 2025-09-10 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-12-09 2025-02-28 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-12-09 2025-02-19 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-12-09 2025-02-05 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 2024-12-09 2025-02-05 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-12-09 2025-02-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-12-09 2025-02-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-12-09 2025-02-05 N
Assist a resident in gaining access to vision and hearing services. Health 2024-12-09 2025-02-05 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-12-09 2025-02-05 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-12-09 2025-02-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-12-09 2025-02-05 N
Provide and implement an infection prevention and control program. Health 2024-12-09 2025-02-05 N
Provide enough food/fluids to maintain a resident's health. Health 2024-12-09 2025-02-05 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-12-09 2025-02-05 Y
Have restrictions on the use of portable space heaters. Fire Safety 2024-12-09 2025-02-05 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2024-12-09 2025-02-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-16 2023-05-15 N
Ensure that residents are free from significant medication errors. Health 2023-03-16 2023-05-15 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-03-16 2023-05-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-03-16 2023-05-15 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2023-03-16 2023-05-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-16 2023-05-15 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-03-16 2023-05-15 N
Develop a communication plan. Fire Safety 2023-03-16 2023-05-15 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-03-16 2023-05-15 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-03-16 2023-05-15 N
Respond appropriately to all alleged violations. Health 2023-03-16 2023-05-15 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-04-02 2021-06-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-04-02 2021-06-01 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 2021-04-02 2021-06-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-04-02 2021-06-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-04-02 2021-06-01 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2021-04-02 2021-06-01 N
Respond appropriately to all alleged violations. Health 2026-03-18 Not Fixed Y

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