A list of the most recent deficiencies for Prairieview Lutheran Home. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-27 | 2023-11-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-27 | 2023-11-30 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-09-27 | 2023-10-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-27 | 2023-10-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-27 | 2023-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-27 | 2023-10-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-27 | 2023-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-27 | 2023-10-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-29 | 2023-10-12 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-09-29 | 2023-10-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-08 | 2023-08-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-08 | 2023-08-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-08 | 2023-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-08 | 2023-08-25 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-10-14 | 2022-12-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-10-14 | 2022-11-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-14 | 2022-11-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-14 | 2022-11-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-14 | 2022-11-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-14 | 2022-11-10 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-10-07 | 2022-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-07 | 2022-10-25 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-10-07 | 2022-10-25 | 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 | 2022-10-07 | 2022-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-07 | 2022-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-24 | 2022-03-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-24 | 2022-03-20 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-24 | 2022-03-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-27 | 2022-01-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-27 | 2022-01-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-27 | 2022-01-14 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-13 | 2021-12-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-13 | 2021-11-02 | N |
| Establish methods for sharing information. | Fire Safety | 2021-10-13 | 2021-10-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-10-13 | 2021-10-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-10-13 | 2021-10-29 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-10-13 | 2021-10-28 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-10-13 | 2021-10-28 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-10-13 | 2021-10-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-13 | 2021-10-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-13 | 2021-10-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-10-13 | 2021-10-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-10-13 | 2021-10-27 | 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 | 2021-09-16 | 2021-10-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-15 | 2021-08-03 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-05-27 | 2021-06-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-27 | 2021-06-23 | Y |
