Deficiency Records for Kendall House Wellness and Rehabilitation
Updated as of January 01, 2020
This is not the most recent data for Kendall House Wellness and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Kendall House Wellness and Rehabilitation. 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? |
|---|---|---|---|---|
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-07 | 2019-09-22 | 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 | 2019-08-08 | 2019-08-30 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-08 | 2019-08-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-08 | 2019-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-08 | 2019-08-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-08-15 | 2018-09-30 | 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 | 2018-08-15 | 2018-09-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-17 | 2018-09-14 | N |
| Respond appropriately to all alleged violations. | Health | 2018-08-17 | 2018-09-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-08-17 | 2018-09-14 | 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 ne | Health | 2018-08-17 | 2018-09-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-17 | 2018-09-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-17 | 2018-09-14 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-08-15 | 2018-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-15 | 2018-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-15 | 2018-08-23 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-09-27 | 2017-10-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-27 | 2017-10-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-19 | 2017-08-16 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2017-07-21 | 2017-08-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-21 | 2017-08-10 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2017-07-19 | 2017-08-04 | N |
