Deficiency Records for Kirkwood Manor
Updated as of May 01, 2021
This is not the most recent data for Kirkwood Manor. For the most recent information, click here.
A list of the most recent deficiencies for Kirkwood 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-11-04 | 2020-11-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-08-19 | 2020-09-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-19 | 2020-09-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-28 | 2020-08-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-13 | 2020-08-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-21 | 2020-05-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-28 | 2020-03-31 | 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 | 2020-02-27 | 2020-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-27 | 2020-03-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-27 | 2020-03-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-27 | 2020-03-06 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2020-02-27 | 2020-03-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-28 | 2020-03-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-28 | 2020-03-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-28 | 2020-03-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-28 | 2020-03-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-28 | 2020-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-28 | 2020-03-02 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-21 | 2020-02-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-21 | 2020-02-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-21 | 2020-02-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-21 | 2020-02-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-27 | 2019-08-01 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-06-27 | 2019-08-01 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-06-27 | 2019-08-01 | Y |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-02-27 | 2019-04-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-27 | 2019-04-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-01 | 2019-04-01 | 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 | 2019-03-01 | 2019-04-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-01 | 2019-04-01 | 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 | 2019-03-01 | 2019-04-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-01 | 2019-04-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-01 | 2019-04-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-28 | 2018-03-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-03-02 | 2018-03-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-02 | 2018-03-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-03-02 | 2018-03-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-02 | 2018-03-05 | 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 | 2018-03-02 | 2018-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-02 | 2018-03-05 | N |
