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 |
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 |