A list of the most recent deficiencies for Kempsville Health and Rehab 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? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-01-18 | 2022-04-04 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-01-18 | 2022-02-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-01-18 | 2022-02-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-18 | 2022-02-17 | 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 | 2022-01-18 | 2022-02-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-18 | 2022-02-17 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-01-18 | 2022-02-17 | 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 | 2022-01-18 | 2022-02-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-18 | 2022-02-17 | 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 | 2022-01-18 | 2022-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-18 | 2022-02-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-01-18 | 2022-02-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-18 | 2022-02-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-18 | 2022-02-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-18 | 2022-02-17 | 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 | 2022-01-18 | 2022-02-17 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-01-18 | 2022-02-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-18 | 2022-02-17 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2022-01-21 | 2022-02-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-21 | 2019-09-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-11 | 2019-08-19 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-07-11 | 2019-08-19 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-07-11 | 2019-08-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-11 | 2019-08-19 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-07-11 | 2019-08-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-11 | 2019-08-19 | 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 | 2019-07-11 | 2019-08-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-11 | 2019-08-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-11 | 2019-08-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-11 | 2019-08-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-11 | 2019-08-19 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-07-11 | 2019-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-11 | 2019-08-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-02 | 2017-12-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-11-02 | 2017-12-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-11-02 | 2017-12-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-11-02 | 2017-12-17 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-11-02 | 2017-12-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-11-02 | 2017-12-17 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-10-05 | 2017-11-09 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-05 | 2017-11-09 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-05 | 2017-11-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-05 | 2017-11-09 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-10-05 | 2017-11-09 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-05 | 2017-11-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-05 | 2017-11-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-05 | 2017-11-09 | N |
