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Deficiency Records for Kenwood Terrace Healthcare Center
View the most recent health deficiencies and inspection results for Kenwood Terrace Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Kenwood Terrace Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-06-20 | 2025-08-25 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-07-30 | 2025-08-25 | Y |
| Provide or obtain dental services for each resident. | Health | 2025-07-30 | 2025-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-28 | 2025-08-25 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2025-02-13 | 2025-04-03 | 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 | 2025-02-13 | 2025-04-03 | 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 | 2025-02-13 | 2025-04-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-02-13 | 2025-04-03 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2025-02-13 | 2025-04-03 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2025-02-13 | 2025-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-13 | 2025-04-03 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-02-13 | 2025-04-03 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-02-13 | 2025-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-13 | 2025-04-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-02-13 | 2025-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-13 | 2025-04-03 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-02-13 | 2025-04-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-02-13 | 2025-04-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-02-13 | 2025-04-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-02-13 | 2025-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-20 | 2024-12-06 | 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 | 2024-11-20 | 2024-12-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-20 | 2024-12-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-20 | 2024-12-06 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-10-07 | 2024-10-18 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-10-07 | 2024-10-18 | 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 | 2024-07-03 | 2024-07-15 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-03-06 | 2024-03-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-06 | 2023-12-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-06 | 2023-12-26 | 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 | 2023-10-23 | 2023-11-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-23 | 2023-11-21 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-23 | 2023-11-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-23 | 2023-11-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-23 | 2023-11-21 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-05-03 | 2022-07-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-03 | 2022-07-26 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-05-03 | 2022-07-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-03 | 2022-07-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-03 | 2022-07-26 | 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 | 2022-05-03 | 2022-07-26 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-05-03 | 2022-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-03 | 2022-07-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-03 | 2022-07-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-03 | 2022-07-26 | 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 | 2022-05-03 | 2022-07-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-03 | 2022-07-26 | 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 | 2022-05-03 | 2022-07-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-03 | 2022-07-26 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-05-03 | 2022-07-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-03 | 2022-07-26 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-05-03 | 2022-07-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-03 | 2022-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-03 | 2022-07-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-03 | 2022-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-03 | 2022-07-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-04-16 | 2019-05-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-16 | 2019-05-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-16 | 2019-05-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-16 | 2019-05-13 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-04-16 | 2019-05-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-16 | 2019-05-13 | N |
| 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 | 2019-04-16 | 2019-05-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-16 | 2019-05-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-16 | 2019-05-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-16 | 2019-05-13 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-04-16 | 2019-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-16 | 2019-05-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-16 | 2019-05-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-04-16 | 2019-05-13 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-04-16 | 2019-05-13 | N |