DESERET NURSING & REHABILITATION AT KENSINGTON

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Clinically Complex". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Deseret Nursing & Rehabilitation at Kensington. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

High Rehabilitation

Medium Rehabilitation

Clinically Complex

Reduced Physical Function

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Kansas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 12/30/2010.

Administration

Post Nurse Staffing Information. Inspection Date: 12/30/2010 Correction Date: 01/27/2011
Choose a Doctor to Be the Medical Director. Inspection Date: 12/30/2010 Correction Date: 01/27/2011
Keep Accurate and Appropriate Medical Records. Inspection Date: 12/30/2010 Correction Date: 01/27/2011
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 12/30/2010 Correction Date: 01/27/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 05/29/2008 Correction Date: 06/10/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 09/22/2009 Correction Date: 10/22/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 09/22/2009 Correction Date: 10/22/2009
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 09/22/2009 Correction Date: 10/22/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 12/30/2010 Correction Date: 01/27/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/30/2010 Correction Date: 01/27/2011

Mistreatment

1) Hire Only People Who Have 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. Inspection Date: 09/22/2009 Correction Date: 10/22/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 09/22/2009 Correction Date: 10/22/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 12/30/2010 Correction Date: 01/27/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature. Inspection Date: 09/22/2009 Correction Date: 10/22/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 09/22/2009 Correction Date: 10/22/2009
Hire a Qualified Dietician. Inspection Date: 12/30/2010 Correction Date: 01/27/2011
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/30/2010 Correction Date: 01/27/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 09/22/2009 Correction Date: 10/22/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 09/22/2009 Correction Date: 10/22/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/22/2009 Correction Date: 10/22/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 12/30/2010 Correction Date: 01/27/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 12/30/2010 Correction Date: 01/27/2011

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 09/22/2009 Correction Date: 10/22/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 12/30/2010 Correction Date: 01/27/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 12/30/2010 Correction Date: 01/27/2011
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 12/30/2010 Correction Date: 01/27/2011
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 12/30/2010 Correction Date: 01/27/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 09/22/2009 Correction Date: 10/22/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 09/22/2009 Correction Date: 10/22/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 09/22/2009 Correction Date: 10/22/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 09/22/2009 Correction Date: 10/22/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 12/30/2010 Correction Date: 01/27/2011
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 12/30/2010 Correction Date: 01/27/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 09/22/2009 Correction Date: 10/22/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 12/30/2010 Correction Date: 01/27/2011
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 12/30/2010 Correction Date: 01/27/2011
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 12/30/2010 Correction Date: 01/27/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 12/30/2010 Correction Date: 01/27/2011

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Deseret Nursing & Rehabilitation at Kensington had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 07/08/2010.

Building Construction

Approved Construction Type or Materials. Inspection Date: 05/09/2008 Correction Date: 05/16/2008

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 05/09/2008 Correction Date: 05/18/2008
Properly Protected Cooking Facilities. Inspection Date: 05/06/2009 Correction Date: 06/06/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 05/06/2009 Correction Date: 06/06/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/09/2008 Correction Date: 05/18/2008
Properly Installed Electrical Wiring and Equipment. Inspection Date: 05/06/2009 Correction Date: 06/06/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 05/09/2008 Correction Date: 05/18/2008

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 05/06/2009 Correction Date: 06/06/2009

Fire Alarm Systems

Properly Maintained Smoke Detectors. Inspection Date: 05/09/2008 Correction Date: 05/18/2008
A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 05/06/2009 Correction Date: 06/06/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 05/06/2009 Correction Date: 06/06/2009

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 05/09/2008 Correction Date: 05/18/2008
Restrictions on the Use of Flammable Curtains. Inspection Date: 05/06/2009 Correction Date: 06/06/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/08/2010 Correction Date: 07/10/2010

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 05/06/2009 Correction Date: 06/06/2009

Interior Finish

Fire-Resistant Room Wall Surfaces. Inspection Date: 05/06/2009 Correction Date: 06/06/2009

Laboratories

Emergency Showers. Inspection Date: 05/09/2008 Correction Date: 05/18/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/09/2008 Correction Date: 05/16/2008
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 05/06/2009 Correction Date: 06/06/2009