A list of the most recent deficiencies for Kingwood Healthcare 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? |
|---|---|---|---|---|
| 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 | 2023-09-19 | 2023-10-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-19 | 2023-10-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-09 | 2023-05-31 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-09 | 2023-05-31 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-05-09 | 2023-05-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-09 | 2023-05-31 | 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 | 2023-05-09 | 2023-05-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-14 | 2023-02-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-12-14 | 2023-02-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-14 | 2023-02-10 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-14 | 2023-02-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-14 | 2023-02-10 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-12-14 | 2023-02-10 | 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 | 2022-12-14 | 2023-02-10 | 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 | 2022-12-14 | 2023-02-10 | 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 | 2022-12-14 | 2023-02-10 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-12-14 | 2023-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-14 | 2023-02-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-14 | 2023-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-14 | 2023-02-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-12-13 | 2023-01-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-13 | 2022-12-31 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-09-07 | 2022-11-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-07 | 2022-11-10 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-09-07 | 2022-11-10 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-08-25 | 2021-09-24 | 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 | 2021-08-25 | 2021-09-24 | 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 | 2021-08-25 | 2021-09-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-25 | 2021-09-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-25 | 2021-09-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-08-25 | 2021-09-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-08-25 | 2021-09-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-25 | 2021-09-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-25 | 2021-09-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-25 | 2021-09-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-25 | 2021-09-24 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-24 | 2021-09-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-24 | 2021-09-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-03-05 | 2019-04-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-05 | 2019-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-05 | 2019-04-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-07 | 2019-04-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-07 | 2019-04-25 | 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 | 2019-03-07 | 2019-04-25 | 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 | 2019-03-07 | 2019-04-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-07 | 2019-04-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-07 | 2019-04-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-07 | 2019-04-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-07 | 2019-04-25 | 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 | 2019-03-07 | 2019-04-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-07 | 2019-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-07 | 2019-04-25 | N |
| Keep all essential equipment working safely. | Health | 2019-03-07 | 2019-04-25 | N |
