A list of the most recent deficiencies for Kirby Pines Manor. 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 medication error rates are not 5 percent or greater. | Health | 2019-07-03 | 2019-07-31 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-07-03 | 2019-07-31 | 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 | 2019-07-03 | 2019-07-31 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-03 | 2019-07-31 | N |
Provide and implement an infection prevention and control program. | Health | 2019-07-03 | 2019-07-31 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-18 | 2018-11-01 | N |
Provide and implement an infection prevention and control program. | Health | 2018-09-18 | 2018-11-01 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-16 | 2018-11-01 | 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 | 2018-09-16 | 2018-09-16 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-16 | 2018-09-16 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-09-16 | 2018-09-16 | N |