Kabul Nursing Homes Inc

In the surveyor’s words

From the most serious findings on record at Kabul Nursing Homes Inc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Oct 27, 2022

  Based on interview, record review, and observation, the facility moved residents from the south side of the building to the north side of the building and failed to take precautions to ensure the door alarms from the south side could be heard by the staff at all times which resulted in one resident (Resident #1) exiting the facility at night, in rainy conditions, for over an hour. The facility had a census of 43. The administrator was notified on 10/26/2022, at 4:10 P.M., of an Immediate Jeopardy (IJ) which began on 10/25/2022. The IJ was removed on 10/27/2022, as confirmed by surveyor onsite verification. […]

• No harm, potential for more than minimal, isolatedF628Aug 14, 2025

  Based on interview and record review, the facility failed to provide written information to the resident and/or the resident's representative for the ombudsman (resolves complaints for residents of long term care facilities) contact information, the contact information for the agency responsible for protective and advocacy of individuals with mental disorders, contact information for the protection and advocacy of individuals with development disabilities, and appeal information for two residents (Residents #5 and #10) out of two sampled residents. The facility also failed to provide a discharge summary to the resident which includes a recapitulation of the resident's stay, and a final summary of the resident's status for one resident (Resident #48) out of one sampled resident. […]

• No harm, potential for more than minimal, isolatedF689Aug 14, 2025

  Based on observation, interview, and record review, the facility failed to ensure staff utilized safe transfer techniques for one resident (Resident #28) out of one sampled resident when staff failed to use a gait belt (an assistive device placed around a person's waist to provide caregivers with a secure grip when lifting or moving) appropriately when lifting and repositioning one resident in wheelchair. The facility census was 39. Review of the facility's policy titled, Transfer Resident With Gait Belt And One - Two Assist, reviewed 01/27/25, showed:- Staff should identify the assistance a resident needs from the care plan and assess the resident for additional assistance prior to beginning a transfer;- Apply gait belt around the resident's waist snugly but not so tight to impair ability… […]

• No harm, potential for more than minimal, isolatedF744Aug 14, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents diagnosed with dementia (a decline in memory or other thinking skills severe enough to reduce a person's ability to perform everyday activities) had a personalized plan of care to ensure appropriate services to promote the resident's highest level of functioning and psychosocial needs were provided for one resident (Resident #15) out of three sampled residents. The facility census was 39.The facility did not provide a policy regarding dementia care.1. […]

• No harm, potential for more than minimal, isolatedF755Aug 14, 2025

  Based on interview and record review, the facility failed to establish a system of records for the receipt and disposition of all controlled medications in sufficient detail to enable an accurate reconciliation of the controlled medications to ensure nursing staff signed at the beginning and the end of each shift for two medication carts out of three sampled medication carts. The facility's census was 39.The facility did not provide a policy regarding the reconciliation of narcotics. 1. […]