Deficiency Records for Azria Health Winterset
Updated as of September 01, 2020
This is not the most recent data for Azria Health Winterset. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-15 | 2019-11-08 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-10-15 | 2019-11-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-15 | 2019-11-08 | Y |
| 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-15 | 2019-09-11 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-16 | 2018-09-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-16 | 2018-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-16 | 2018-08-27 | N |
| 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 | 2018-08-02 | 2018-08-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-02 | 2018-08-23 | 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 | 2018-08-02 | 2018-08-23 | N |
| Provide or obtain dental services for each resident. | Health | 2018-08-02 | 2018-08-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-08-16 | 2018-08-17 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-06-26 | 2017-06-27 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-06-26 | 2017-06-27 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-06-26 | 2017-06-27 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-05-22 | 2017-06-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-05-22 | 2017-06-22 | 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 | 2017-05-22 | 2017-06-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-05-22 | 2017-06-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-22 | 2017-06-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-22 | 2017-06-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-05-22 | 2017-06-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-22 | 2017-06-22 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-05-18 | 2017-05-31 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-05-18 | 2017-05-31 | N |
