Deficiency Records for Totally Kids Rehabilitation Hospital - D/p Snf
Updated as of March 01, 2024
A list of the most recent deficiencies for Totally Kids Rehabilitation Hospital - D/p Snf. 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? |
|---|---|---|---|---|
| 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 | 2023-01-12 | 2023-02-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-12 | 2023-02-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-12 | 2023-02-10 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-24 | 2023-01-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-24 | 2023-01-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-24 | 2023-01-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-09 | 2021-10-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-11 | 2021-09-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-11 | 2021-09-01 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-03-02 | 2021-03-17 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2020-01-22 | 2020-03-05 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-01-22 | 2020-03-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-01-22 | 2020-03-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-24 | 2020-02-14 | 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 | 2020-01-24 | 2020-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-24 | 2020-02-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-03-28 | 2019-04-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-28 | 2019-04-24 | 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 | 2019-03-28 | 2019-04-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-28 | 2019-04-24 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-01-11 | 2019-02-14 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-01-11 | 2019-02-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-11 | 2019-02-14 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2019-01-11 | 2019-02-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-11 | 2019-02-14 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-01-11 | 2019-02-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-11 | 2019-02-14 | 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 | 2019-01-11 | 2019-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-11 | 2019-02-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-11 | 2019-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-11 | 2019-02-14 | N |
