Deficiency Records for Kei-Ai South Bay Healthcare Center
Updated as of April 01, 2021
This is not the most recent data for Kei-Ai South Bay Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Kei-Ai South Bay 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2021-01-06 | 2021-01-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-28 | 2020-10-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-05 | 2020-07-18 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-03-05 | 2020-07-18 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-12-09 | 2020-01-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-27 | 2019-10-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-10 | 2019-06-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-05-10 | 2019-06-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-10 | 2019-06-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-10 | 2019-06-25 | 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 | 2019-05-10 | 2019-06-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-10 | 2019-06-25 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-05-10 | 2019-06-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-10 | 2019-06-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-10 | 2019-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-10 | 2019-06-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-10 | 2019-06-25 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-05-10 | 2019-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-10 | 2019-06-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-17 | 2019-06-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-17 | 2019-06-05 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-05-17 | 2019-06-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-05-17 | 2019-06-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-17 | 2019-06-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-17 | 2019-06-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-17 | 2019-06-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-20 | 2019-01-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-22 | 2018-07-20 | Y |
| 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 | 2018-06-22 | 2018-07-20 | Y |
| Meet other general requirements. | Fire Safety | 2018-05-09 | 2018-06-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-05-09 | 2018-06-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-05-09 | 2018-06-20 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-05-09 | 2018-06-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-05-09 | 2018-06-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-05-09 | 2018-06-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-05-09 | 2018-06-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-05-09 | 2018-06-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-09 | 2018-06-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-09 | 2018-06-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-05-09 | 2018-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-09 | 2018-06-20 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2018-05-09 | 2018-06-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-07 | 2018-06-05 | 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 | 2018-05-07 | 2018-06-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-07 | 2018-06-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-05-07 | 2018-06-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-05-07 | 2018-06-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-05-07 | 2018-06-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-07 | 2018-06-05 | 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 | 2018-05-07 | 2018-06-05 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-05-07 | 2018-06-05 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-05-07 | 2018-06-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-07 | 2018-06-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-07 | 2018-06-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-07 | 2018-06-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-07 | 2018-06-05 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-05-07 | 2018-06-05 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2018-05-07 | 2018-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-07 | 2018-06-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-05-07 | 2018-06-05 | N |
| Provide residents with private access to a telephone. | Health | 2017-04-26 | 2017-05-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-04-26 | 2017-05-19 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-04-26 | 2017-05-19 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-26 | 2017-05-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-26 | 2017-05-19 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-26 | 2017-05-19 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-04-26 | 2017-05-19 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-04-26 | 2017-05-19 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-26 | 2017-05-19 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-26 | 2017-05-19 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-04-26 | 2017-05-19 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-26 | 2017-05-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-07-31 | Not Fixed | N |
