A list of the most recent deficiencies for Menominee Health Services. 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 exits that are accessible at all times. | Fire Safety | 2023-05-24 | 2023-09-11 | 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 | 2023-05-24 | 2023-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-24 | 2023-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-24 | 2023-06-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-24 | 2023-06-14 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-05-24 | 2023-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-23 | 2022-06-27 | 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 | 2022-03-23 | 2022-05-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-23 | 2022-04-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-03-23 | 2022-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-23 | 2022-04-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-03-23 | 2022-04-19 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-03-23 | 2022-04-19 | 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 | 2022-03-23 | 2022-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-23 | 2022-04-19 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-23 | 2022-04-19 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-23 | 2022-04-19 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-01-26 | 2021-03-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-01-25 | 2021-02-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-01-25 | 2021-02-23 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-01-25 | 2021-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-25 | 2021-02-23 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-01-25 | 2021-02-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-01-26 | 2021-02-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-01-26 | 2021-02-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-01-26 | 2021-01-27 | N |
