Deficiency Records for Kendall House Wellness and Rehabilitation
Updated as of November 01, 2021
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? |
|---|---|---|---|---|
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-04-20 | 2021-05-13 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-04-22 | 2021-05-12 | N |
| Post nurse staffing information every day. | Health | 2021-04-22 | 2021-05-12 | 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 | 2021-04-22 | 2021-05-12 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-04-22 | 2021-05-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-04-22 | 2021-05-12 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-04-20 | 2021-04-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-20 | 2021-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-04-07 | 2020-04-08 | Y |
| 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 |
| Ensure each resident receives an accurate assessment. | 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 necessary and PRN use is limited. | Health | 2018-08-17 | 2018-09-14 | N |
| 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 | N |
| 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 |
