A list of the most recent deficiencies for Allure of Prophetstown. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-01 | 2023-09-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-01 | 2023-09-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-01 | 2023-09-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-01 | 2023-09-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-01 | 2023-09-18 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-09-01 | 2023-09-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-01 | 2023-09-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-01 | 2023-09-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-01 | 2023-09-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-01 | 2023-09-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-06 | 2023-09-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-06 | 2023-09-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-06 | 2023-09-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-06 | 2023-09-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-06 | 2023-09-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-06 | 2023-09-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-14 | 2023-09-15 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-07-21 | 2023-07-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-21 | 2023-07-22 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-01-12 | 2023-01-31 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-01-12 | 2023-01-31 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-28 | 2022-07-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-06-28 | 2022-07-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-28 | 2022-07-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-28 | 2022-07-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-28 | 2022-07-14 | 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 | 2022-06-28 | 2022-07-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-28 | 2022-07-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-28 | 2022-07-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-06-16 | 2022-06-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-16 | 2022-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-16 | 2022-06-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-26 | 2022-02-03 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-19 | 2021-06-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-19 | 2021-04-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-19 | 2021-04-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-03-19 | 2021-04-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-03-19 | 2021-04-11 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-03-19 | 2021-04-11 | N |
| Establish methods for sharing information. | Fire Safety | 2021-03-19 | 2021-04-11 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-03-19 | 2021-04-11 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-03-19 | 2021-04-11 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-03-19 | 2021-04-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-19 | 2021-04-11 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-03-19 | 2021-04-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-19 | 2021-04-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-03-19 | 2021-04-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-19 | 2021-04-11 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-03-19 | 2021-04-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-12 | 2021-03-25 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-03-12 | 2021-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-12 | 2021-03-25 | N |
