A list of the most recent deficiencies for Galena Stauss Nursing 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-31 | 2023-12-15 | Y |
| 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 | 2023-10-12 | 2023-12-01 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-10-20 | 2023-12-01 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-10-20 | 2023-12-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-20 | 2023-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-20 | 2023-12-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-20 | 2023-12-01 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-10-20 | 2023-12-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-20 | 2023-12-01 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-10-12 | 2023-11-16 | 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 | 2023-10-12 | 2023-11-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-12 | 2023-11-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-12 | 2023-11-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-01-20 | 2023-03-01 | N |
| Develop a communication plan. | Fire Safety | 2023-01-20 | 2023-03-01 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-01-20 | 2023-03-01 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-01-20 | 2023-03-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-20 | 2023-02-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-20 | 2023-02-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-20 | 2023-02-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-20 | 2023-02-08 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2023-01-20 | 2023-02-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-06 | 2023-01-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-06 | 2023-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-06 | 2023-01-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-06 | 2023-01-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-01-06 | 2023-01-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-01 | 2022-05-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-01 | 2022-04-25 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-03-01 | 2022-04-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-03-01 | 2022-03-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-01 | 2022-03-25 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-03-01 | 2022-03-17 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-03-01 | 2022-03-17 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-03-01 | 2022-03-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-03-01 | 2022-03-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-01 | 2022-03-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-01 | 2022-03-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-23 | 2022-03-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-23 | 2022-03-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-23 | 2022-03-11 | 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 | 2022-02-23 | 2022-03-11 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-02-23 | 2022-03-11 | N |
