Deficiency Records for Koester Pavilion
Updated as of October 01, 2016
This is not the most recent data for Koester Pavilion. For the most recent information, click here.
A list of the most recent deficiencies for Koester Pavilion. 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? |
|---|---|---|---|---|
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| Proper backup exit lighting. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-03-10 | 2016-04-15 | N |
| 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 | 2016-03-10 | 2016-04-15 | N |
| 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 | 2016-03-10 | 2016-04-15 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-03-10 | 2016-04-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-03-10 | 2016-04-15 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-10 | 2016-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-10 | 2016-04-15 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-03-10 | 2016-04-15 | N |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| Proper backup exit lighting. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-03-10 | 2016-04-15 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-03-10 | 2016-04-15 | N |
| 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 | 2016-03-10 | 2016-04-15 | N |
| 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 | 2016-03-10 | 2016-04-15 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-03-10 | 2016-04-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-03-10 | 2016-04-15 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-10 | 2016-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-10 | 2016-04-15 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-03-10 | 2016-04-15 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2014-12-02 | 2015-01-15 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-12-02 | 2015-01-15 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2014-12-02 | 2015-01-15 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-12-02 | 2015-01-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-03-04 | 2014-04-10 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-03-04 | 2014-04-10 | Y |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2014-03-04 | 2014-04-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-03-04 | 2014-04-10 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-03-04 | 2014-04-10 | Y |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2014-03-04 | 2014-04-10 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-09-03 | 2013-09-30 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2013-09-03 | 2013-09-30 | N |
| Proper backup exit lighting. | Fire Safety | 2013-09-03 | 2013-09-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2013-08-30 | 2013-09-30 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2013-08-30 | 2013-09-30 | N |
| Hire sufficient dietary support personnel. | Health | 2013-08-30 | 2013-09-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-08-30 | 2013-09-30 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-09-03 | 2013-09-30 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2013-09-03 | 2013-09-30 | N |
| Proper backup exit lighting. | Fire Safety | 2013-09-03 | 2013-09-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2013-08-30 | 2013-09-30 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2013-08-30 | 2013-09-30 | N |
| Hire sufficient dietary support personnel. | Health | 2013-08-30 | 2013-09-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-08-30 | 2013-09-30 | N |
