Deficiency Records for Kearsley Rehabilitation and Nursing Center
Updated as of June 01, 2021
This is not the most recent data for Kearsley Rehabilitation and Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Kearsley Rehabilitation and Nursing Center. 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? |
|---|---|---|---|---|
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-12-30 | 2021-01-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-30 | 2020-01-21 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-30 | 2019-12-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-30 | 2019-12-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-10-30 | 2019-12-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-30 | 2019-12-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-30 | 2019-12-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-30 | 2019-12-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-30 | 2019-12-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-30 | 2019-12-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-10-30 | 2019-12-29 | 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 | 2019-10-21 | 2019-11-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-21 | 2019-11-26 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-10-21 | 2019-11-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-21 | 2019-11-26 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-10-21 | 2019-11-26 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-10-21 | 2019-11-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-15 | 2019-02-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-15 | 2019-02-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-15 | 2019-02-01 | 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 | 2018-11-15 | 2019-02-01 | 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 | 2018-11-15 | 2019-02-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-15 | 2019-02-01 | N |
| Dispose of garbage and refuse properly. | Health | 2018-11-15 | 2019-02-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-15 | 2019-02-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-11-28 | 2019-01-02 | 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 | 2018-11-28 | 2019-01-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-28 | 2019-01-02 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-11-28 | 2019-01-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-28 | 2019-01-02 | N |
| 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 | 2018-06-26 | 2018-07-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-26 | 2018-07-25 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-06-26 | 2018-07-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-26 | 2018-07-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-26 | 2018-07-25 | Y |
| Meet other general requirements. | Fire Safety | 2017-10-04 | 2017-12-19 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2017-10-04 | 2017-11-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2017-10-04 | 2017-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-04 | 2017-11-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-10-04 | 2017-11-21 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-04 | 2017-11-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-04 | 2017-11-21 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-10-04 | 2017-11-21 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2017-10-04 | 2017-11-21 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-04 | 2017-11-21 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-10-04 | 2017-11-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-04 | 2017-11-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-04 | 2017-11-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-10-04 | 2017-11-21 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-10-04 | 2017-11-21 | N |
