Deficiency Records for Wrangell Medical Center Ltc
Updated as of May 01, 2020
This is not the most recent data for Wrangell Medical Center Ltc. For the most recent information, click here.
A list of the most recent deficiencies for Wrangell Medical Center Ltc. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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. | Fire Safety | 2019-04-24 | 2019-06-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-24 | 2019-06-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-24 | 2019-06-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-04-24 | 2019-06-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-24 | 2019-06-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-24 | 2019-06-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-24 | 2019-06-08 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2019-04-24 | 2019-06-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-24 | 2019-06-08 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-04-24 | 2019-06-08 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-04-24 | 2019-06-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-24 | 2019-06-08 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-04-24 | 2019-06-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-24 | 2019-06-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-24 | 2019-06-08 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-04-24 | 2019-06-08 | N |
| 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. | Health | 2019-04-24 | 2019-06-08 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-04-24 | 2019-06-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-04-24 | 2019-06-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-24 | 2019-06-08 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-04-24 | 2019-06-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-24 | 2019-05-12 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-04-24 | 2019-05-08 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-04-30 | 2018-06-22 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-04-30 | 2018-06-22 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-04-30 | 2018-06-22 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-04-30 | 2018-06-22 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-04-30 | 2018-06-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-04-30 | 2018-06-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-30 | 2018-06-22 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-04-30 | 2018-06-22 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2018-04-30 | 2018-06-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-30 | 2018-06-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-30 | 2018-06-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-30 | 2018-06-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-30 | 2018-06-22 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-04-30 | 2018-06-22 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-04-30 | 2018-06-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-04-30 | 2018-06-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-04-30 | 2018-06-22 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-04-30 | 2018-06-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-30 | 2018-06-22 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-04-30 | 2018-06-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-30 | 2018-06-22 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-04-30 | 2018-06-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-30 | 2018-06-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-04-30 | 2018-06-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-04-26 | 2018-06-14 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-04-26 | 2018-06-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-04-26 | 2018-06-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-04-26 | 2018-06-14 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-04-26 | 2018-06-14 | N |
| Establish methods for sharing information. | Fire Safety | 2018-04-26 | 2018-06-14 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-04-26 | 2018-06-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-26 | 2018-06-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-04-26 | 2018-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-26 | 2018-06-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-04-26 | 2018-06-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-26 | 2018-06-14 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2018-04-26 | 2018-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-26 | 2018-06-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-04-26 | 2018-06-14 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-04-26 | 2018-06-14 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-06-09 | 2017-07-26 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-09 | 2017-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-09 | 2017-07-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-09 | 2017-07-25 | N |
