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Deficiency Records for Complete Care at Kensington
View the most recent health deficiencies and inspection results for Complete Care at Kensington. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Kensington. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-02-23 | 2026-03-20 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2025-05-21 | 2025-06-12 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-05-21 | 2025-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-21 | 2025-06-12 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-05-21 | 2025-06-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-05-21 | 2025-06-12 | 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 | 2025-05-21 | 2025-06-12 | N |
| Provide appropriate foot care. | Health | 2025-05-21 | 2025-06-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-21 | 2025-06-12 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-05-21 | 2025-06-12 | N |
| Respond appropriately to all alleged violations. | Health | 2025-05-21 | 2025-06-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-21 | 2025-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-22 | 2024-03-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-22 | 2024-03-15 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-02-22 | 2024-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-22 | 2024-03-15 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-02-22 | 2024-03-15 | 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 | 2024-02-22 | 2024-03-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-22 | 2024-03-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-22 | 2024-03-15 | 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 | 2024-02-22 | 2024-03-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-22 | 2024-03-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-22 | 2024-03-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-02-22 | 2024-03-13 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-01-30 | 2024-02-13 | Y |
| Provide training in compliance and ethics. | Health | 2024-01-30 | 2024-02-13 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-01-30 | 2024-02-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-30 | 2024-01-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-30 | 2024-01-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-06 | 2023-10-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-06 | 2023-10-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-10 | 2022-12-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-10 | 2022-12-02 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-11-10 | 2022-12-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-10 | 2022-12-02 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-11-10 | 2022-12-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-10 | 2022-12-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-10 | 2022-12-02 | 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 | 2022-11-10 | 2022-12-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-10 | 2022-12-02 | 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 | 2022-11-10 | 2022-12-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-10 | 2022-12-01 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-11-10 | 2022-11-30 | N |