A list of the most recent deficiencies for The Knolls. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-07-06 | 2021-09-06 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-06 | 2021-09-06 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-06 | 2021-09-06 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-07-06 | 2021-09-06 | 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 | 2021-07-06 | 2021-09-06 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-06 | 2021-09-06 | N |
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-07-06 | 2021-09-06 | N |
Provide and implement an infection prevention and control program. | Health | 2021-07-06 | 2021-09-06 | N |
Establish emergency prep training and testing. | Fire Safety | 2021-07-06 | 2021-09-06 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2021-07-06 | 2021-09-06 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-02 | 2019-10-25 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-02 | 2019-10-25 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-02 | 2019-10-25 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-07-03 | 2018-09-11 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-07-03 | 2018-09-06 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-07-03 | 2018-08-31 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-03 | 2018-08-31 | 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 | 2018-07-03 | 2018-08-31 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2018-07-03 | 2018-08-31 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-07-03 | 2018-08-31 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2018-07-03 | 2018-08-31 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2018-07-03 | 2018-08-31 | N |
Implement emergency and standby power systems. | Fire Safety | 2018-07-03 | 2018-08-31 | N |
Have exits that are accessible at all times. | Fire Safety | 2018-07-03 | 2018-08-31 | 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 | 2018-07-03 | 2018-08-31 | N |