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Deficiency Records for Azria Health Great Bend
View the most recent health deficiencies and inspection results for Azria Health Great Bend. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Azria Health Great Bend. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-07-29 | 2025-09-03 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-07-29 | 2025-09-03 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-07-29 | 2025-09-03 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-07-29 | 2025-09-03 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-07-29 | 2025-09-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-07-29 | 2025-09-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-07-29 | 2025-09-03 | 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 | 2025-07-29 | 2025-09-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-07-29 | 2025-09-03 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-07-29 | 2025-09-03 | N |
| Respond appropriately to all alleged violations. | Health | 2025-07-29 | 2025-09-03 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-07-29 | 2025-09-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-29 | 2025-07-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-07 | 2025-05-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-17 | 2024-06-13 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-07 | 2024-01-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-07 | 2024-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-07 | 2024-01-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-07 | 2024-01-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-07 | 2024-01-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-07 | 2024-01-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-07 | 2024-01-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-07 | 2023-12-22 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-11-07 | 2023-12-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-07 | 2023-12-22 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2023-11-07 | 2023-12-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-07 | 2023-12-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-11 | 2023-12-21 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-07 | 2023-12-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-05 | 2022-06-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-04-05 | 2022-06-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-05 | 2022-06-06 | 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 | 2022-04-05 | 2022-06-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-05 | 2022-06-06 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-04-05 | 2022-06-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-05 | 2022-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-05 | 2022-06-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-05 | 2022-06-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-05 | 2022-06-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-05 | 2022-06-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-05 | 2022-06-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-05 | 2022-06-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-05 | 2022-05-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-05 | 2022-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-05 | 2022-05-02 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-04-05 | 2022-05-02 | 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 | 2022-04-05 | 2022-05-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-05 | 2022-05-02 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-04-05 | 2022-05-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-05 | 2022-05-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-05 | 2022-05-02 | N |
| 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 | 2022-04-05 | 2022-05-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-05 | 2022-05-02 | 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 | 2022-04-05 | 2022-05-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-05 | 2022-05-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-11-24 | 2021-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-11-24 | 2021-01-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-11-24 | 2021-01-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-11-24 | 2021-01-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-11-24 | 2021-01-27 | N |