Deficiency Records for The Pearl at Kruse Way
Updated as of November 01, 2020
This is not the most recent data for The Pearl at Kruse Way. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 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 |
| 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 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-03 | 2020-03-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-25 | 2020-01-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-25 | 2019-12-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-25 | 2019-12-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-25 | 2019-12-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-04-05 | 2019-05-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-05 | 2019-05-14 | Y |
| Install resident room doors of proper design and width. | Fire Safety | 2018-03-13 | 2018-05-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-19 | 2018-05-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-03-19 | 2018-05-01 | 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 | 2018-03-19 | 2018-05-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-03-19 | 2018-05-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-03-19 | 2018-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-19 | 2018-05-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-02-03 | 2017-03-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-02-03 | 2017-03-06 | 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 | 2017-01-27 | 2017-03-06 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-01-27 | 2017-03-06 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-01-27 | 2017-03-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-27 | 2017-03-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-01-27 | 2017-03-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-27 | 2017-03-06 | N |
