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Deseret Health And Rehab At Seville Llc

Inspection Results

Inspection Summary
Deseret Health And Rehab At Seville Llc has been cited for 81 deficiencies in our most recent deficiency data (Tip: Surveys happen throughout the year and you may want to check with the location to see if there is more recent data available). There are 344 nursing homes in Kansas with a total of 14186 deficiencies resulting in an average of 41.24 deficiencies per nursing home.


Date of Survey Date of Correction Deficiency
2014-08-05 2015-01-21 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2014-08-05 2014-10-14 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
2014-08-05 2015-01-21 Provide housekeeping and maintenance services.
2014-08-05 2015-01-21 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2014-08-05 2014-10-14 Provide necessary care and services to maintain or improve the highest well being of each resident .
2014-08-05 2014-10-14 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
2014-08-05 2015-01-21 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
2014-08-05 2014-10-14 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
2014-08-05 2014-10-14 Provide food in a way that meets a resident's needs.
2014-08-05 2015-01-21 Store, cook, and serve food in a safe and clean way.
2014-01-17 2014-02-14 Ensure that residents are fully informed and understand their health status, care and treatments.
2014-01-17 2014-02-14 Give residents a notice of rights, rules, services and charges.
2014-01-17 2014-02-14 Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party.
2014-01-17 2014-02-14 Provide written records when a resident is transferred or discharged.
2014-01-17 2014-02-14 Provide timely notification to the resident before transfer or discharge.
2014-01-17 2014-02-14 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
2014-01-17 2014-02-14 Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
2014-01-17 2014-02-14 Review or revise the resident's care plan after any major change in physical or mental health.
2014-01-17 2014-02-14 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2014-01-17 2014-02-14 Allow residents the right to participate in the planning or revision of care and treatment.
2014-01-17 2014-02-14 Provide necessary care and services to maintain or improve the highest well being of each resident .
2014-01-17 2014-02-14 Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
2014-01-17 2014-02-14 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
2014-01-17 2014-02-14 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
2014-01-17 2014-02-14 Ensure residents maintain acceptable nutritional status.
2014-01-17 2014-02-14 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
2014-01-17 2014-02-14 Have enough nurses to care for every resident in a way that maximizes the resident's well being.
2014-01-17 2014-02-14 Make sure that special or therapeutic diets are ordered by the attending doctor.
2014-01-17 2014-02-14 Store, cook, and serve food in a safe and clean way.
2014-01-17 2014-02-14 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
2014-01-17 2014-02-14 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
2014-01-17 2014-02-14 Have a program that investigates, controls and keeps infection from spreading.
2014-01-17 2014-02-14 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
2014-01-17 2014-02-14 Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
2013-08-16 2013-08-30 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
2013-08-16 2013-08-30 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
2013-05-06 2013-06-04 Protect each resident from all abuse, physical punishment, and involuntary separation from others.
2013-05-06 2013-06-04 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
2013-05-06 2013-06-04 Provide medically-related social services to help each resident achieve the highest possible quality of life.
2013-05-06 2013-06-04 Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
2013-03-04 2013-03-14 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
2012-10-11 2012-11-01 Keep residents' personal and medical records private and confidential.
2012-10-11 2012-11-01 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
2012-10-11 2012-11-01 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2012-10-11 2012-11-01 Develop policies and procedures for influenza and pneumococcal immunizations.
2012-10-11 2012-11-01 Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
2012-10-11 2012-11-01 Make sure that a working call system is available in each resident's room or bathroom and bathing area.
2012-10-11 2012-11-01 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
2012-10-11 2012-11-01 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
2012-10-11 2012-11-01 Ensure residents maintain acceptable nutritional status.
2012-10-11 2012-11-01 Give each resident enough fluids to keep them healthy and prevent dehydration.
2012-10-11 2012-11-01 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
2012-04-30 2012-05-30 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.
2012-04-30 2012-05-30 Have enough nurses to care for every resident in a way that maximizes the resident's well being.
2012-04-30 2012-05-30 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
2011-06-20 2011-08-25 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
2011-06-20 2011-08-25 Provide proof that residents' personal money that is deposited with the nursing home is secure.
2011-06-20 2011-08-25 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
2011-06-20 2011-08-25 Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
2011-06-20 2011-10-10 Conduct initial and periodic assessments of each resident's functional capacity.
2011-06-20 2011-10-10 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2011-06-20 2011-08-25 Allow residents the right to participate in the planning or revision of care and treatment.
2011-06-20 2011-10-10 Ensure services provided by the nursing facility meet professional standards of quality.
2011-06-20 2011-10-10 Provide necessary care and services to maintain or improve the highest well being of each resident .
2011-06-20 2011-10-10 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
2011-06-20 2011-08-25 Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
2011-06-20 2011-08-25 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
2011-06-20 2011-08-25 Provide routine and 24-hour emergency dental care for each resident.
2011-06-20 2011-08-25 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
2013-06-11 2013-06-11 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
2013-06-11 2013-06-11 Emergency lighting that can last at least 1 1/2 hours.
2013-06-11 2013-06-11 Properly maintained smoke detectors.
2012-03-20 2012-03-21 A two-hour-resistant firewall separation.
2012-03-20 2012-03-26 Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
2012-03-20 2012-03-21 Emergency lighting that can last at least 1 1/2 hours.
2012-03-20 2012-03-31 Record of quarterly fire drills for each shift under varying conditions.
2012-03-20 2012-03-26 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
2012-03-20 2012-03-26 Proper medical gas storage and administration areas.
2012-03-20 2012-03-31 Properly installed hallway dispensers for alcohol-based hand rub.
2011-01-25 2011-02-25 Exits that are free from obstructions and can be used at all times.
2011-01-25 2011-02-25 Properly installed electrical wiring and equipment.



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