Inspection Results » Kansas City Center for Rehabilitation and Healthca

Health Inspection on April 20, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-05-28)

2. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Keep all essential equipment working safely. (Corrected 2018-05-28)
   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2018-05-28)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-05-28)

3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-05-28)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-05-28)
   • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2018-05-28)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-05-28)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-05-28)
   • Provide and implement an infection prevention and control program. (Corrected 2018-06-14)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-05-28)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-05-28)
   • Respond appropriately to all alleged violations. (Corrected 2018-05-28)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-05-28)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-05-28)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-05-28)
   • Dispose of garbage and refuse properly. (Corrected 2018-05-28)
   • Have enough outside ventilation via a window or mechanical ventilation, or both. (Corrected 2018-05-28)
   • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Corrected 2018-06-14)
   • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. (Corrected 2018-05-28)
   • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2018-05-28)

4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-05-28)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-05-28)
   • Honor the resident's right to manage his or her financial affairs. (Corrected 2018-06-14)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-05-28)
   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2018-05-28)
   • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2018-05-28)
   • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Corrected 2018-05-28)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-05-28)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-05-28)
   • 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 (Corrected 2018-05-28)
   • Prepare residents for a safe transfer or discharge from the nursing home. (Corrected 2018-05-28)
   • 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. (Corrected 2018-05-28)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-06-14)