A list of the most recent deficiencies for Western Prairie Senior Living LLC. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-19 | 2024-02-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-19 | 2024-02-01 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-01-19 | 2024-02-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-19 | 2024-02-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-07 | 2024-01-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-07 | 2024-01-07 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-12-07 | 2024-01-07 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-12-07 | 2024-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2024-01-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-07 | 2024-01-07 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-01-27 | 2022-02-24 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-01-27 | 2022-02-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-01-27 | 2022-02-24 | Y |
| 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 | 2022-01-27 | 2022-02-24 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-10 | 2022-02-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-10 | 2022-02-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-10 | 2022-02-22 | 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 | 2020-02-06 | 2020-02-28 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-02-06 | 2020-02-28 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-02-06 | 2020-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-06 | 2020-02-28 | 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 | 2020-02-06 | 2020-02-28 | 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 | 2020-02-06 | 2020-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-06 | 2020-02-28 | 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 | 2019-11-06 | 2019-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-06 | 2019-11-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-06 | 2019-11-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-06 | 2019-11-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-06 | 2019-11-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-06 | 2019-11-20 | N |
