Deficiency Records for Wheat State Manor
Updated as of May 01, 2020
This is not the most recent data for Wheat State Manor. For the most recent information, click here.
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? |
---|---|---|---|---|
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 |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-08-14 | 2018-09-13 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-08-14 | 2018-09-13 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-14 | 2018-09-13 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-08-14 | 2018-09-13 | N |
Assess the resident when there is a significant change in condition | Health | 2018-08-14 | 2018-09-13 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-14 | 2018-09-13 | 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 | 2018-08-14 | 2018-09-13 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-14 | 2018-09-13 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-14 | 2018-09-13 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2018-08-14 | 2018-09-13 | 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 | 2018-08-14 | 2018-09-13 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-14 | 2018-09-13 | 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 | 2018-08-14 | 2018-09-13 | 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 | 2018-08-14 | 2018-09-13 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-14 | 2018-09-13 | N |
Provide and implement an infection prevention and control program. | Health | 2018-08-14 | 2018-09-13 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-08-14 | 2018-09-13 | N |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-08-14 | 2018-09-13 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-04-10 | 2018-05-05 | Y |
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-03-05 | 2018-04-04 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-02-20 | 2018-03-21 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2018-02-20 | 2018-03-21 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-02-20 | 2018-03-21 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2018-02-20 | 2018-03-21 | N |
Provide primary/alternate means for communication. | Fire Safety | 2018-02-20 | 2018-03-21 | N |
Establish staff and initial training requirements. | Fire Safety | 2018-02-20 | 2018-03-21 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-02-20 | 2018-03-21 | N |
Provide and implement an infection prevention and control program. | Health | 2018-01-31 | 2018-03-02 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-01-31 | 2017-03-01 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-01-31 | 2017-03-01 | N |
Provide resident groups or resident family groups with private space to meet. | Health | 2017-01-31 | 2017-03-01 | N |
Provide housekeeping and maintenance services. | Health | 2017-01-31 | 2017-03-01 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2017-01-31 | 2017-03-01 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-31 | 2017-03-01 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-01-31 | 2017-03-01 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-31 | 2017-03-01 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-01-31 | 2017-03-01 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-01-31 | 2017-03-01 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-01-31 | 2017-03-01 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-31 | 2017-03-01 | N |