Deficiency Records for Stevens County Hospital Ltcu Dba Pioneer Manor
Updated as of April 01, 2024
A list of the most recent deficiencies for Stevens County Hospital Ltcu Dba Pioneer 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? |
|---|---|---|---|---|
| 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 | 2023-01-26 | 2023-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-29 | 2021-08-05 | 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 | 2021-05-19 | 2021-06-02 | 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 | 2021-05-19 | 2021-06-02 | 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 | 2021-05-19 | 2021-05-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-19 | 2019-09-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-19 | 2019-09-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-19 | 2019-09-03 | 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 | 2019-08-19 | 2019-09-03 | 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 | 2019-08-19 | 2019-09-03 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-08-19 | 2019-09-03 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-12-06 | 2019-01-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-06 | 2019-01-04 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-12-06 | 2019-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-06 | 2018-12-28 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-12-06 | 2018-12-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-12-06 | 2018-12-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-06 | 2018-12-10 | N |
