Deficiency Records for Kendall House Wellness and Rehabilitation
Updated as of March 01, 2023
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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-15 | 2022-08-04 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-07-15 | 2022-07-18 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-07-15 | 2022-07-18 | N |
| Post nurse staffing information every day. | Health | 2022-07-15 | 2022-07-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-15 | 2022-07-18 | 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 | 2022-07-15 | 2022-07-18 | N |
| 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 requirements for the installation and maintenance of electrical systems. | 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 |
