A list of the most recent deficiencies for Kent Healthcare and Rehabilitation.. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-10 | 2023-07-21 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-07-10 | 2023-07-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-21 | 2023-07-21 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-03-30 | 2023-05-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-30 | 2023-05-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-30 | 2023-05-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-30 | 2023-05-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-30 | 2023-05-10 | 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 | 2023-03-30 | 2023-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-30 | 2023-05-10 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2023-03-30 | 2023-05-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-03-30 | 2023-05-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-30 | 2023-05-10 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-03-30 | 2023-05-10 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-03-30 | 2023-05-10 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-03-30 | 2023-05-10 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-03-28 | 2023-05-10 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-03-28 | 2023-05-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-28 | 2023-05-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-28 | 2023-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-28 | 2023-05-10 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-03-28 | 2023-05-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-03-28 | 2023-05-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-28 | 2023-05-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-28 | 2023-05-10 | 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 | 2022-09-12 | 2022-09-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-12 | 2022-09-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-28 | 2022-08-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-25 | 2022-06-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-25 | 2022-06-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-25 | 2022-06-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-25 | 2022-06-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-23 | 2022-04-11 | 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 | 2022-03-23 | 2022-04-11 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-03-23 | 2022-04-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-23 | 2022-04-11 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-23 | 2022-04-11 | Y |
| 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 | 2021-03-30 | 2021-04-19 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-03-30 | 2021-04-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-30 | 2021-04-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-15 | 2019-10-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-15 | 2019-10-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-15 | 2019-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-15 | 2019-10-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-13 | 2019-10-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-13 | 2019-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-13 | 2019-10-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-13 | 2019-10-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-08-13 | 2019-10-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-13 | 2019-10-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-13 | 2019-10-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-13 | 2019-10-04 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-08-13 | 2019-10-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-13 | 2019-10-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-13 | 2019-10-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-19 | 2018-08-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-07-19 | 2018-08-14 | 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 | 2018-07-19 | 2018-08-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-19 | 2018-08-14 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-07-16 | 2018-08-14 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-07-16 | 2018-08-14 | N |
