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 |