Deficiency Records for Kingwood Skilled Nursing and Therapy
Updated as of April 01, 2024
A list of the most recent deficiencies for Kingwood Skilled Nursing and Therapy. 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? |
|---|---|---|---|---|
| Establish emergency prep training and testing. | Fire Safety | 2024-03-13 | 2024-04-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-13 | 2024-04-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-13 | 2024-04-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-17 | 2022-12-21 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-11-17 | 2022-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-17 | 2022-12-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-11-17 | 2022-12-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-16 | 2022-12-21 | 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 | 2022-11-16 | 2022-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-16 | 2022-12-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-16 | 2022-12-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-16 | 2022-12-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-16 | 2022-12-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-16 | 2022-12-21 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2022-11-09 | 2022-12-14 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-09 | 2022-07-13 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-12-20 | 2022-01-19 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-20 | 2022-01-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-20 | 2022-01-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-08 | 2021-10-20 | N |
| 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 | 2021-09-08 | 2021-10-20 | 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 | 2021-09-08 | 2021-10-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-09-08 | 2021-10-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-09-08 | 2021-10-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-09-08 | 2021-10-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-08 | 2021-10-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-08 | 2021-10-20 | Y |
| 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 | 2021-09-08 | 2021-10-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-08 | 2021-10-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-08 | 2021-10-20 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-08 | 2021-10-20 | Y |
| 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 | 2021-09-01 | 2021-10-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-01 | 2021-10-20 | 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 | 2021-09-01 | 2021-10-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-01 | 2021-10-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-01 | 2021-10-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-09-01 | 2021-10-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-01 | 2021-10-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-01 | 2021-10-20 | N |
