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Deficiency Records for Azria Health Great Bend
A list of the most recent deficiencies for Azria Health Great Bend. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Azria Health Great Bend. 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? |
|---|---|---|---|---|
| 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 |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-12 | 2024-01-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-12 | 2024-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-12 | 2024-01-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-12 | 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 | 2023-12-12 | 2024-01-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-12 | 2024-01-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-12 | 2024-01-18 | 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 |
| 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 |
| 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 |
| 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 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 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 | 2023-12-12 | 2023-12-15 | 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 | 2022-05-10 | 2022-06-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-10 | 2022-06-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-10 | 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 | 2022-05-10 | 2022-06-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-10 | 2022-06-06 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-05-10 | 2022-06-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-10 | 2022-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-10 | 2022-06-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-10 | 2022-06-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-10 | 2022-06-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-10 | 2022-06-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-10 | 2022-06-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-10 | 2022-06-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-09 | 2022-05-14 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-10 | 2022-05-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-05 | 2022-05-02 | 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 | 2022-04-05 | 2022-05-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-05 | 2022-05-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-05 | 2022-05-02 | 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 | 2022-04-05 | 2022-05-02 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-05 | 2022-05-02 | Y |
| 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 | Y |
| 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 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-05 | 2022-05-02 | Y |
| 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 | Y |
| 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 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-05 | 2022-05-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-02 | 2021-11-20 | Y |
| 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 | 2021-11-02 | 2021-11-20 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-01-06 | 2021-01-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-01-06 | 2021-01-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-06 | 2021-01-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-01-06 | 2021-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-01-06 | 2021-01-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-11-24 | 2020-12-31 | N |
| Respond appropriately to all alleged violations. | Health | 2020-11-24 | 2020-12-31 | 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 | 2020-11-24 | 2020-12-31 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-11-24 | 2020-12-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-11-24 | 2020-12-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-11-24 | 2020-12-31 | 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 | 2020-11-24 | 2020-12-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-11-24 | 2020-12-31 | 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 | 2020-11-24 | 2020-12-31 | 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 | 2020-11-24 | 2020-12-31 | 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 | 2020-11-24 | 2020-12-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-11-24 | 2020-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-11-24 | 2020-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-24 | 2020-12-31 | N |
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