Deficiency Records for Wolf Creek Care Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Wolf Creek Care Center. 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?
Provide and implement an infection prevention and control program. Health 2023-12-28 2024-01-08 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-10-12 2023-10-31 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-02 2023-05-12 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-03-30 2023-04-21 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-11-08 2023-01-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-08 2023-01-04 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-11-08 2023-01-04 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 2022-11-08 2023-01-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-11-08 2023-01-04 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-11-08 2023-01-04 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-11-08 2023-01-04 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-11-08 2023-01-04 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2022-11-08 2023-01-04 Y
Establish staff and initial training requirements. Fire Safety 2022-11-04 2022-12-13 N
Conduct testing and exercise requirements. Fire Safety 2022-11-04 2022-12-13 N
Implement emergency and standby power systems. Fire Safety 2022-11-04 2022-12-13 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-11-04 2022-12-13 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 2022-11-04 2022-12-13 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-11-04 2022-12-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-11-04 2022-12-13 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-11-04 2022-12-13 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-11-04 2022-12-13 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-11-22 2022-12-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-22 2022-12-08 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-10-19 2022-11-04 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-04 2022-10-20 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-10-04 2022-10-20 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-08-31 2021-10-01 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-08-31 2021-10-01 Y
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 2021-08-31 2021-10-01 Y
List the names and contact information of those in the facility. Fire Safety 2019-12-16 2020-01-21 N
Establish staff and initial training requirements. Fire Safety 2019-12-16 2020-01-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-12-16 2020-01-21 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-12-16 2020-01-21 N
Have proper medical gas storage and administration areas. Fire Safety 2019-12-16 2020-01-21 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-11-07 2019-12-27 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 2019-11-07 2019-12-27 N
Protect a residents' right to refuse some types of non-requested transfers within the nursing home. Health 2019-11-07 2019-12-27 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2019-11-07 2019-12-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-11-07 2019-12-27 N
Provide and implement an infection prevention and control program. Health 2019-11-07 2019-12-27 N
Implement emergency and standby power systems. Fire Safety 2019-02-21 2019-03-08 N
Use approved construction type or materials. Fire Safety 2019-02-21 2019-03-08 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-02-21 2019-03-08 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-02-21 2019-03-08 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-02-21 2019-03-08 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-02-21 2019-03-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-02-21 2019-03-08 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 2019-01-10 2019-02-28 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2019-01-10 2019-02-28 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-01-10 2019-02-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-01-10 2019-02-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-01-10 2019-02-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-01-10 2019-02-28 N
Post nurse staffing information every day. Health 2019-01-10 2019-02-28 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-01-10 2019-02-28 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 2019-01-10 2019-02-28 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-01-10 2019-02-28 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 2019-01-10 2019-02-28 N
Ensure medication error rates are not 5 percent or greater. Health 2019-01-10 2019-02-28 N
Provide and implement an infection prevention and control program. Health 2019-01-10 2019-02-28 N
Keep all essential equipment working safely. Health 2019-01-10 2019-02-28 N