Deficiency Records for Wheat State Manor
Updated as of June 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 |
