A list of the most recent deficiencies for Azria Health Winterset. 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? |
|---|---|---|---|---|
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-19 | 2023-12-20 | Y |
| 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 | 2023-01-19 | 2023-02-16 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-01-19 | 2023-02-16 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-01-19 | 2023-02-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-25 | 2023-02-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-01-25 | 2023-02-08 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-01-25 | 2023-02-08 | 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 | 2023-01-25 | 2023-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-25 | 2023-02-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-25 | 2023-02-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-30 | 2022-10-18 | Y |
| 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 | 2022-08-30 | 2022-10-18 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-08-31 | 2021-09-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-08-31 | 2021-09-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-31 | 2021-09-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-08-31 | 2021-09-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-08-30 | 2021-09-14 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-08-30 | 2021-09-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-31 | 2021-09-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-31 | 2021-09-07 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-04-28 | 2021-06-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-24 | 2021-04-09 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2021-03-24 | 2021-04-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-24 | 2021-04-09 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-24 | 2019-11-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-24 | 2019-11-18 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-10-24 | 2019-11-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-24 | 2019-11-18 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-10-24 | 2019-11-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-24 | 2019-11-18 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-10-24 | 2019-11-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-24 | 2019-11-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-24 | 2019-11-18 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-10-24 | 2019-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-24 | 2019-11-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-10-24 | 2019-11-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-29 | 2019-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-29 | 2019-10-31 | 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 | 2019-10-29 | 2019-10-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-10-29 | 2019-10-29 | N |
