Deficiency Records for The Wybe and Marietje Kroontje Health Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for The Wybe and Marietje Kroontje Health Care 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-16 | 2022-10-03 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-05-16 | 2022-10-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-16 | 2022-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-16 | 2022-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-16 | 2022-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-16 | 2022-10-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-16 | 2022-10-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-16 | 2022-10-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-16 | 2022-10-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-16 | 2022-10-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-21 | 2022-07-19 | 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 | 2022-04-21 | 2022-07-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-21 | 2022-07-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-21 | 2022-07-19 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-05-16 | 2022-07-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-16 | 2022-07-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-16 | 2022-07-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-02-07 | 2019-03-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-07 | 2019-03-28 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-02-07 | 2019-03-28 | 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 | 2019-02-07 | 2019-03-28 | 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 | 2019-02-07 | 2019-03-28 | N |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-02-07 | 2019-03-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-07 | 2019-03-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-02-07 | 2019-03-28 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-10-26 | 2017-12-21 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-10-26 | 2017-12-21 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-10-26 | 2017-12-21 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-26 | 2017-12-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-26 | 2017-12-21 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-26 | 2017-12-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-26 | 2017-12-21 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-26 | 2017-12-21 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-10-26 | 2017-12-21 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-10-26 | 2017-12-21 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-10-26 | 2017-12-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-26 | 2017-12-21 | N |
| Keep complete, dated laboratory records in the resident's file. | Health | 2017-10-26 | 2017-12-21 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-26 | 2017-12-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-11-07 | 2017-12-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-11-07 | 2017-12-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-11-07 | 2017-12-18 | N |
