Deficiency Records for Wheat State Manor
Updated as of May 01, 2024
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Deficiency Records for Wheat State Manor
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.
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 |
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 |
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