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Kendallville Manor

Inspection Results

Nursing Homes Indiana Kendallville Kendallville Manor

Kendallville Manor has been cited for a total of 65 deficiencies in our most recent deficiency data, which typically covers 3 health and fire safety surveys.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Kendallville Manor.

There are 522 nursing homes in Indiana with a total of 29,446 deficiencies resulting in an average of 56.41 deficiencies per nursing home.

The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies

Deficiency Cited, Scope, and Date of Correction
Have a program that investigates, controls and keeps infection from spreading.
Scope:
D
Corrected:
10-10-2017
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope:
D
Corrected:
02-09-2017
Provide care by qualified persons according to each resident's written plan of care.
Scope:
D
Corrected:
02-09-2017
Store, cook, and serve food in a safe and clean way.
Scope:
E
Corrected:
02-09-2017
Provide care by qualified persons according to each resident's written plan of care.
Scope:
D
Corrected:
02-11-2016
Provide necessary care and services to maintain or improve the highest well being of each resident .
Scope:
D
Corrected:
02-11-2016
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Scope:
D
Corrected:
02-11-2016
Ensure residents maintain acceptable nutritional status.
Scope:
D
Corrected:
02-11-2016
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
Scope:
C
Corrected:
02-11-2016
Establish procedures for tracking staff and patients during an emergency.
Scope:
C
Corrected:
01-18-2018
Establish roles under a Waiver declared by secretary.
Scope:
C
Corrected:
01-18-2018
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Scope:
F
Corrected:
01-18-2018
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.
Scope:
E
Corrected:
01-18-2018
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Scope:
C
Corrected:
01-18-2018
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Scope:
C
Corrected:
01-18-2018
Install corridor and hallway doors that block smoke.
Scope:
F
Corrected:
01-18-2018
Have generator or other power source capable of supplying service within 10 seconds.
Scope:
F
Corrected:
01-18-2018
Meet other general requirements.
Scope:
E
Corrected:
03-31-2017
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Scope:
D
Corrected:
03-31-2017
Inspect, test, and maintain automatic sprinkler systems.
Scope:
F
Corrected:
03-31-2017
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Scope:
F
Corrected:
03-09-2017
Have simulated fire drills held at unexpected times.
Scope:
C
Corrected:
03-31-2017
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Scope:
F
Corrected:
03-31-2017
Have generator or other power source capable of supplying service within 10 seconds.
Scope:
C
Corrected:
03-31-2017
Ensure proper usage of power strips and extension cords.
Scope:
E
Corrected:
03-31-2017
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Scope:
D
Corrected:
03-31-2017
Walls that prevent smoke from passing through and would resist fire for at least one hour.
Scope:
D
Corrected:
03-11-2016
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
Scope:
F
Corrected:
03-11-2016
Rooms that can be unlocked from inside without a key.
Scope:
D
Corrected:
03-11-2016
Emergency lighting that can last at least 1 1/2 hours.
Scope:
E
Corrected:
03-11-2016
A fire alarm system that can be heard throughout the facility.
Scope:
F
Corrected:
03-11-2016
Automatic sprinkler systems that have been maintained in working order.
Scope:
F
Corrected:
03-11-2016
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Scope:
F
Corrected:
03-11-2016
Restrictions on the use of portable space heaters.
Scope:
E
Corrected:
03-11-2016
Properly sized and located linen or trash receptacles.
Scope:
F
Corrected:
03-11-2016
Weekly inspections and monthly testing of generators.
Scope:
F
Corrected:
03-11-2016
Properly installed electrical wiring and equipment.
Scope:
E
Corrected:
03-11-2016
Establish procedures for tracking staff and patients during an emergency.
Scope:
C
Corrected:
01-18-2018
Establish roles under a Waiver declared by secretary.
Scope:
C
Corrected:
01-18-2018
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Scope:
F
Corrected:
01-18-2018
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.
Scope:
E
Corrected:
01-18-2018
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Scope:
C
Corrected:
01-18-2018
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Scope:
C
Corrected:
01-18-2018
Install corridor and hallway doors that block smoke.
Scope:
F
Corrected:
01-18-2018
Have generator or other power source capable of supplying service within 10 seconds.
Scope:
F
Corrected:
01-18-2018
Meet other general requirements.
Scope:
E
Corrected:
03-31-2017
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Scope:
D
Corrected:
03-31-2017
Inspect, test, and maintain automatic sprinkler systems.
Scope:
F
Corrected:
03-31-2017
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Scope:
F
Corrected:
03-09-2017
Have simulated fire drills held at unexpected times.
Scope:
C
Corrected:
03-31-2017
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Scope:
F
Corrected:
03-31-2017
Have generator or other power source capable of supplying service within 10 seconds.
Scope:
C
Corrected:
03-31-2017
Ensure proper usage of power strips and extension cords.
Scope:
E
Corrected:
03-31-2017
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Scope:
D
Corrected:
03-31-2017
Walls that prevent smoke from passing through and would resist fire for at least one hour.
Scope:
D
Corrected:
03-11-2016
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
Scope:
F
Corrected:
03-11-2016
Rooms that can be unlocked from inside without a key.
Scope:
D
Corrected:
03-11-2016
Emergency lighting that can last at least 1 1/2 hours.
Scope:
E
Corrected:
03-11-2016
A fire alarm system that can be heard throughout the facility.
Scope:
F
Corrected:
03-11-2016
Automatic sprinkler systems that have been maintained in working order.
Scope:
F
Corrected:
03-11-2016
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Scope:
F
Corrected:
03-11-2016
Restrictions on the use of portable space heaters.
Scope:
E
Corrected:
03-11-2016
Properly sized and located linen or trash receptacles.
Scope:
F
Corrected:
03-11-2016
Weekly inspections and monthly testing of generators.
Scope:
F
Corrected:
03-11-2016
Properly installed electrical wiring and equipment.
Scope:
E
Corrected:
03-11-2016

Learn more about Kendallville Manor at the following resources

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Kendallville Manor

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