Deficiency Records for Legacy Kettering
Updated as of June 01, 2019
This is not the most recent data for Legacy Kettering. For the most recent information, click here.
A list of the most recent deficiencies for Legacy Kettering. 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? |
|---|---|---|---|---|
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2019-02-28 | 2019-04-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-28 | 2019-04-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-28 | 2019-04-01 | 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 | 2019-02-28 | 2019-04-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-02-28 | 2019-04-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-02-28 | 2019-04-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-28 | 2019-04-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-28 | 2019-04-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-28 | 2019-04-01 | 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 | 2019-02-28 | 2019-04-01 | N |
| Provide or obtain dental services for each resident. | Health | 2019-02-28 | 2019-04-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-03 | 2018-03-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-01-03 | 2018-03-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-01-03 | 2018-03-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-03 | 2018-03-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-26 | 2018-03-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-28 | 2018-03-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-28 | 2018-03-06 | 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 | 2017-12-28 | 2018-03-06 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-08-17 | 2017-09-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-08-17 | 2017-09-01 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-08-17 | 2017-09-01 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-17 | 2017-09-01 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-18 | 2017-09-01 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-11-02 | 2016-11-28 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-11-02 | 2016-11-28 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-02 | 2016-11-28 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-11-02 | 2016-11-28 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2016-09-22 | 2016-10-21 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-09-22 | 2016-10-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-22 | 2016-10-21 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2016-09-22 | 2016-10-21 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-09-22 | 2016-09-22 | N |
