A list of the most recent deficiencies for Prairie Sunset Home Inc. 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? |
|---|---|---|---|---|
| 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 | 2023-07-11 | 2023-07-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-07-11 | 2023-07-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-11 | 2023-07-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-11 | 2023-07-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-11 | 2023-07-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-11 | 2023-07-25 | 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 | 2023-06-14 | 2023-07-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-14 | 2023-07-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-14 | 2023-07-10 | 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 | 2023-06-14 | 2023-07-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-14 | 2023-07-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-14 | 2023-07-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-15 | 2022-01-13 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-12-15 | 2022-01-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-12-15 | 2022-01-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-12-15 | 2022-01-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-12-15 | 2022-01-13 | N |
| Develop a communication plan. | Fire Safety | 2021-12-15 | 2022-01-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-12-15 | 2022-01-13 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-12-15 | 2022-01-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-12-15 | 2022-01-13 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-12-15 | 2022-01-13 | 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 | 2021-12-15 | 2022-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-15 | 2022-01-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-12-15 | 2022-01-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-15 | 2022-01-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-15 | 2022-01-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-15 | 2022-01-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-04 | 2021-12-17 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-11-04 | 2021-12-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-04 | 2021-12-17 | 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 | 2021-11-04 | 2021-12-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-11-04 | 2021-12-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-04 | 2021-12-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-09 | 2020-02-15 | 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 | 2020-01-09 | 2020-02-15 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-01-09 | 2020-02-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-09 | 2020-02-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-01-09 | 2020-02-15 | 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 | 2020-01-09 | 2020-02-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-09 | 2020-02-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-11-04 | 2019-11-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-04 | 2019-11-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-04 | 2019-11-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-04 | 2019-11-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-04 | 2019-11-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-04 | 2019-11-11 | N |
