A list of the most recent deficiencies for Satanta District Hospital Ltcu. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-25 | 2023-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-25 | 2023-06-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-25 | 2023-06-23 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-25 | 2023-06-23 | Y |
| 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 | 2023-05-25 | 2023-06-23 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-06 | 2023-06-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-06 | 2023-06-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-06 | 2023-06-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-06 | 2023-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-06 | 2023-06-13 | 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 | 2023-02-01 | 2023-02-09 | Y |
| 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 | 2021-09-16 | 2021-10-31 | 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 | 2021-09-16 | 2021-10-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-16 | 2021-10-31 | N |
| Post nurse staffing information every day. | Health | 2021-09-16 | 2021-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-16 | 2021-10-31 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-09-16 | 2021-10-31 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2020-01-09 | 2020-02-14 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-01-09 | 2020-02-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-01-09 | 2020-02-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-01-09 | 2020-02-14 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-01-09 | 2020-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-17 | 2020-01-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-17 | 2020-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-17 | 2020-01-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-17 | 2020-01-31 | N |
