A list of the most recent deficiencies for Azria Health Prairie Ridge. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-06 | 2024-01-12 | N |
| 1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to. | Health | 2023-12-06 | 2024-01-12 | 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 | 2023-12-06 | 2024-01-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-06 | 2024-01-12 | N |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2023-12-06 | 2024-01-12 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-12-06 | 2024-01-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-06 | 2024-01-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-12-06 | 2024-01-12 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-12-06 | 2024-01-12 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-12-06 | 2024-01-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-06 | 2024-01-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-06 | 2024-01-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-06 | 2024-01-12 | 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 | 2023-12-06 | 2024-01-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-06 | 2024-01-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-06 | 2024-01-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-12-06 | 2024-01-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-06 | 2024-01-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-06 | 2024-01-12 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-12-06 | 2024-01-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-06 | 2024-01-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-06 | 2024-01-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-06 | 2024-01-12 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-12-06 | 2024-01-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-06 | 2024-01-12 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-12-06 | 2024-01-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-06 | 2024-01-12 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-12-07 | 2024-01-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-07 | 2024-01-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-12-07 | 2024-01-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-07 | 2024-01-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-12-07 | 2024-01-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-07 | 2024-01-07 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-12-07 | 2024-01-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-08 | 2022-08-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-08 | 2022-08-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-08 | 2022-08-03 | Y |
| 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 | 2022-07-08 | 2022-08-03 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-11 | 2022-07-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-11 | 2022-07-12 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-07-11 | 2022-07-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-07 | 2022-02-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-07 | 2022-02-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-07 | 2022-02-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-07 | 2022-02-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-09-30 | 2021-10-21 | Y |
| Report COVID19 data to residents and families. | Health | 2021-09-30 | 2021-10-21 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-18 | 2021-03-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-18 | 2021-03-19 | N |
