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Deficiency Records for Knolls West Post Acute LLC
View the most recent health deficiencies and inspection results for Knolls West Post Acute LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Knolls West Post Acute LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2026-04-02 | 2026-04-23 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-22 | 2025-06-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-05-22 | 2025-06-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-22 | 2025-06-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-05-22 | 2025-06-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-22 | 2025-06-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-22 | 2025-06-17 | N |
| Keep all essential equipment working safely. | Health | 2025-05-22 | 2025-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-22 | 2025-06-13 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-05-22 | 2025-06-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-22 | 2025-06-13 | 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 | 2025-05-22 | 2025-06-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-22 | 2025-06-13 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-05-22 | 2025-06-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-22 | 2025-06-13 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-05-22 | 2025-06-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-05-22 | 2025-06-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-22 | 2025-06-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-05-22 | 2025-06-13 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-05-22 | 2025-06-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-22 | 2025-06-13 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-05-22 | 2025-06-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-26 | 2025-04-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-23 | 2025-02-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-30 | 2025-01-16 | Y |
| 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 | 2024-12-17 | 2025-01-10 | Y |
| 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 | 2024-11-26 | 2024-12-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-03 | 2024-10-22 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-09-12 | 2024-10-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-18 | 2024-07-08 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-23 | 2024-06-14 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-05-23 | 2024-06-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-23 | 2024-06-14 | 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 | 2024-05-23 | 2024-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-23 | 2024-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-05-23 | 2024-06-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-21 | 2023-07-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-15 | 2023-02-13 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-12-15 | 2023-02-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-15 | 2023-02-13 | 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 | 2022-12-15 | 2023-02-13 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-12-15 | 2023-02-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-15 | 2023-02-13 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-12-15 | 2023-01-13 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-12-15 | 2023-01-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-15 | 2023-01-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-15 | 2023-01-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-15 | 2023-01-13 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-12-15 | 2023-01-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-15 | 2023-01-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-15 | 2023-01-13 | 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 | 2022-12-15 | 2023-01-13 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2022-12-15 | 2023-01-13 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-12-15 | 2023-01-13 | 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 | 2022-12-15 | 2023-01-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-12-15 | 2023-01-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-15 | 2023-01-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-15 | 2023-01-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-15 | 2023-01-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-15 | 2023-01-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-15 | 2023-01-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-15 | 2023-01-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-15 | 2023-01-12 | N |