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Kendallville Manor

Inspection Results


Nursing Homes Indiana Cree Lake Kendallville Manor

Kendallville Manor has been cited for a total of 28 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 502 nursing homes in Indiana with a total of 24,279 deficiencies resulting in an average of 48.36 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
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
10-31-2019

Provide care and assistance to perform activities of daily living for any resident who is unable.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
10-31-2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
10-31-2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category:
Nutrition and Dietary Deficiencies
Scope:
E
Corrected:
10-31-2019

Provide care by qualified persons according to each resident's written plan of care.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
10-12-2018

Ensure each resident?s drug regimen must be free from unnecessary drugs.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
10-12-2018

Have a program that investigates, controls and keeps infection from spreading.
Category:
Environmental Deficiencies
Scope:
D
Corrected:
10-10-2017

Establish staff and initial training requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
01-02-2020

Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
01-02-2020

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
E
Corrected:
01-02-2020

Conduct risk assessment and an All-Hazards approach.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
01-18-2019

Provide primary/alternate means for communication.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
01-18-2019

Establish methods for sharing information.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
11-17-2018

Establish staff and initial training requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
01-18-2019

Conduct testing and exercise requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
01-18-2019

Install emergency lighting that can last at least 1 1/2 hours.
Category:
Egress Deficiencies
Scope:
F
Corrected:
11-17-2018

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
C
Corrected:
11-17-2018

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
11-17-2018

Have simulated fire drills held at unexpected times.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
11-17-2018

Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
11-17-2018

Establish procedures for tracking staff and patients during an emergency.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
01-18-2018

Establish roles under a Waiver declared by secretary.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
01-18-2018

Keep aisles, corridors, and exits free of obstruction in case of emergency.
Category:
Egress Deficiencies
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.
Category:
Egress Deficiencies
Scope:
E
Corrected:
01-18-2018

Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Category:
Smoke Deficiencies
Scope:
C
Corrected:
01-18-2018

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Category:
Smoke Deficiencies
Scope:
C
Corrected:
01-18-2018

Install corridor and hallway doors that block smoke.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
01-18-2018

Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
01-18-2018



Learn more about Kendallville Manor at the following resources

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Staff Size Medicare Ratings Ratings Comparison
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Kendallville Manor


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