A list of the most recent deficiencies for Wheat State Manor. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-30 | 2023-12-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-30 | 2023-12-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2023-12-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-13 | 2023-09-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-13 | 2023-09-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-27 | 2023-07-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-27 | 2023-07-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-16 | 2022-07-01 | 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 | 2022-06-16 | 2022-07-01 | 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 | 2022-06-16 | 2022-07-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-16 | 2022-07-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-16 | 2022-07-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-16 | 2022-07-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-16 | 2022-07-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-06-16 | 2022-07-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-16 | 2022-07-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-25 | 2022-05-27 | 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 | 2022-04-25 | 2022-05-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-25 | 2022-05-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-25 | 2022-05-27 | 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 | 2022-04-25 | 2022-05-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-25 | 2022-05-27 | 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 | 2022-04-25 | 2022-05-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-25 | 2022-05-27 | 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 | 2022-04-25 | 2022-05-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-25 | 2022-05-27 | 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 | 2022-04-25 | 2022-05-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-04-25 | 2022-05-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-27 | 2022-02-14 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Develop a communication plan. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Use approved construction type or materials. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-04 | 2021-04-02 | 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 | 2021-03-04 | 2021-04-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-04 | 2021-04-02 | 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 | 2021-02-04 | 2021-03-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-04 | 2021-03-11 | 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 | 2021-02-04 | 2021-03-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-02-04 | 2021-03-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-02-04 | 2021-03-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-04 | 2021-03-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-03 | 2021-03-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-04 | 2019-07-07 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-06-04 | 2019-07-07 | N |
| Provide activities to meet all resident's needs. | Health | 2019-06-04 | 2019-07-07 | 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 | 2019-06-04 | 2019-07-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-06-04 | 2019-07-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-04 | 2019-07-07 | 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 | 2019-06-04 | 2019-07-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-04 | 2019-07-07 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-06-04 | 2019-07-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-04 | 2019-07-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-06-04 | 2019-07-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-04 | 2019-07-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-06-04 | 2019-07-03 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-06-04 | 2019-07-03 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-06-04 | 2019-07-03 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-06-04 | 2019-07-03 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-06-04 | 2019-07-03 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-06-04 | 2019-07-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-04 | 2019-07-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-04 | 2019-07-03 | 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 | 2019-06-04 | 2019-07-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-06-04 | 2019-07-03 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-06-04 | 2019-07-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-04 | 2019-07-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-04 | 2019-07-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-04 | 2019-07-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-04 | 2019-07-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-04 | 2019-07-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-04 | 2019-07-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-04 | 2019-07-03 | N |
