A list of the most recent deficiencies for Wildflower Court. 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? |
|---|---|---|---|---|
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-11-03 | 2023-01-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-03 | 2022-12-19 | 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 | 2022-11-03 | 2022-12-19 | 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 | 2022-11-03 | 2022-12-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-03 | 2022-12-19 | 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 | 2022-11-03 | 2022-12-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-03 | 2022-12-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-03 | 2022-12-19 | 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 | 2022-11-03 | 2022-12-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-03 | 2022-12-19 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-11-03 | 2022-12-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-03 | 2022-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-03 | 2022-12-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-03 | 2022-12-19 | N |
| Respond appropriately to all alleged violations. | Health | 2022-11-03 | 2022-12-19 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-11-03 | 2022-12-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-11-03 | 2022-11-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-03 | 2022-11-25 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-08-26 | 2021-12-14 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-08-26 | 2021-11-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-08-26 | 2021-11-26 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-08-26 | 2021-10-10 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2021-08-26 | 2021-10-10 | 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 | 2021-08-26 | 2021-10-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-26 | 2021-10-10 | N |
| Respond appropriately to all alleged violations. | Health | 2021-08-26 | 2021-10-10 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2021-08-26 | 2021-10-10 | 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 | 2021-08-26 | 2021-10-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-08-26 | 2021-10-10 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-08-26 | 2021-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-26 | 2021-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-26 | 2021-10-10 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-08-25 | 2021-10-09 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-08-25 | 2021-10-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-08-25 | 2021-10-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-25 | 2021-10-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-25 | 2021-10-09 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-08-25 | 2021-10-09 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2019-05-29 | 2019-07-13 | 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 | 2019-05-29 | 2019-07-13 | 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 | 2019-05-29 | 2019-07-13 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-05-29 | 2019-07-13 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-05-29 | 2019-07-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-29 | 2019-07-13 | 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 | 2019-05-29 | 2019-07-13 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-05-29 | 2019-07-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-29 | 2019-07-13 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-05-29 | 2019-07-13 | 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 | 2019-05-29 | 2019-07-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-29 | 2019-07-13 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-05-30 | 2019-07-13 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-05-30 | 2019-07-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-05-30 | 2019-07-13 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-05-30 | 2019-07-13 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-05-30 | 2019-07-13 | N |
| 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 | 2019-05-30 | 2019-07-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-30 | 2019-07-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-30 | 2019-07-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-29 | 2019-06-21 | N |
