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Carondelet Manor

Inspection Results

Nursing Homes Missouri Kansas City Carondelet Manor

Carondelet Manor has been cited for a total of 56 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 Carondelet Manor.

There are 522 nursing homes in Missouri with a total of 20,089 deficiencies resulting in an average of 38.48 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
Protect each resident from the wrongful use of the resident's belongings or money.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
02-24-2021
Ensure services provided by the nursing facility meet professional standards of quality.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
03-25-2021
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
03-25-2021
Ensure that residents are free from significant medication errors.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
03-25-2021
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.
Category:
Pharmacy Service Deficiencies
Scope:
E
Corrected:
02-24-2021
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
10-01-2019
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
10-01-2019
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.
Category:
Pharmacy Service Deficiencies
Scope:
E
Corrected:
10-01-2019
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:
F
Corrected:
10-01-2019
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Category:
Nutrition and Dietary Deficiencies
Scope:
E
Corrected:
10-01-2019
Reasonably accommodate the needs and preferences of each resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
10-19-2018
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
10-19-2018
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
10-19-2018
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
10-19-2018
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
10-19-2018
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:
10-19-2018
Provide activities to meet all resident's needs.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
10-19-2018
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
10-19-2018
Post nurse staffing information every day.
Category:
Nursing and Physician Services Deficiencies
Scope:
E
Corrected:
10-19-2018
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
10-19-2018
Ensure medication error rates are not 5 percent or greater.
Category:
Pharmacy Service Deficiencies
Scope:
E
Corrected:
10-19-2018
Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
D
Corrected:
10-19-2018
Provide housekeeping and maintenance services.
Category:
Environmental Deficiencies
Scope:
E
Corrected:
09-15-2017
Ensure services provided by the nursing facility meet professional standards of quality.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
09-15-2017
Have a program that investigates, controls and keeps infection from spreading.
Category:
Environmental Deficiencies
Scope:
E
Corrected:
09-15-2017
Make sure that a working call system is available in each resident's room or bathroom and bathing area.
Category:
Environmental Deficiencies
Scope:
E
Corrected:
09-15-2017
Establish an Emergency Preparedness Program (EP).
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
10-01-2019
Address patient/client population and determine types of services needed.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
10-01-2019
Provide primary/alternate means for communication.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
10-01-2019
Implement emergency and standby power systems.
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
10-01-2019
Meet other general requirements.
Category:
Egress Deficiencies
Scope:
D
Corrected:
10-01-2019
Provide properly protected cooking facilities.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
10-01-2019
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
10-01-2019
Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
10-01-2019
Meet other general requirements that are deficient.
Category:
Miscellaneous Deficiencies
Scope:
D
Corrected:
10-01-2019
Provide a written emergency evacuation plan.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
10-01-2019
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
10-01-2019
Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
10-01-2019
Ensure proper usage of power strips and extension cords.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
D
Corrected:
10-01-2019
Establish an Emergency Preparedness Program (EP).
Category:
Emergency Preparedness Deficiencies
Scope:
F
Corrected:
10-19-2018
Have simulated fire drills held at unexpected times.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
10-19-2018
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
10-19-2018
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
10-19-2018
Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
10-19-2018
Use approved construction type or materials.
Category:
Construction Deficiencies
Scope:
E
Corrected:
09-15-2017
Have an enclosure around a vertical opening shaft.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
09-15-2017
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
09-15-2017
Provide properly protected cooking facilities.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
09-15-2017
Have approved installation, maintenance and testing program for fire alarm systems.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
09-15-2017
Properly provide smoke detection systems in areas open to corridors.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
09-15-2017
Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
09-15-2017
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
09-15-2017
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
09-15-2017
Provide a written emergency evacuation plan.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
09-15-2017
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
Category:
Miscellaneous Deficiencies
Scope:
E
Corrected:
09-15-2017
Ensure proper usage of power strips and extension cords.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
E
Corrected:
09-15-2017

Learn more about Carondelet Manor at the following resources

Inspection Results Penalty Enforcements Maps and Directions
Staff Size Medicare Ratings Ratings Comparison
or return to the main profile page for
Carondelet Manor

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