A list of the most recent deficiencies for The Pearl at Kruse Way. 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? |
|---|---|---|---|---|
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-14 | 2023-10-13 | 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 | 2023-07-14 | 2023-10-13 | Y |
| Post nurse staffing information every day. | Health | 2023-07-14 | 2023-10-13 | 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 | 2023-07-14 | 2023-08-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-14 | 2023-08-30 | 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 | 2023-07-14 | 2023-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-14 | 2023-08-30 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-07-14 | 2023-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-14 | 2023-08-30 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-07-14 | 2023-08-30 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-17 | 2023-08-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-17 | 2023-08-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-17 | 2023-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-17 | 2023-08-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-17 | 2023-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-17 | 2023-08-30 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-07-14 | 2023-08-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-06-28 | 2022-08-10 | 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 | 2022-06-28 | 2022-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-28 | 2022-08-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-24 | 2021-12-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-24 | 2021-12-28 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-11-24 | 2021-12-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-24 | 2021-12-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-24 | 2021-12-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-24 | 2021-12-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-24 | 2021-12-28 | Y |
| 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 | 2020-02-03 | 2020-03-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-03 | 2020-03-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-03 | 2020-03-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-03 | 2020-03-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-03 | 2020-03-06 | 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 | 2020-02-03 | 2020-03-06 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-03 | 2020-03-06 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-02-03 | 2020-03-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-03 | 2020-03-06 | 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 | 2020-02-03 | 2020-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-03 | 2020-03-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-30 | 2020-03-06 | 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 | 2020-01-30 | 2020-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-30 | 2020-03-06 | N |
