Deficiency Records for Avera Morningside Heights Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Avera Morningside Heights Care Center. 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 proper medical gas storage and administration areas. | Fire Safety | 2023-11-28 | 2024-01-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-30 | 2024-01-04 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-11-30 | 2024-01-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-30 | 2024-01-04 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-11-30 | 2024-01-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-30 | 2024-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-30 | 2024-01-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-11-30 | 2024-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2024-01-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-11-30 | 2024-01-04 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-10-28 | 2022-12-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-28 | 2022-12-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-28 | 2022-12-08 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-10-28 | 2022-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-28 | 2022-12-08 | 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 | 2022-10-28 | 2022-12-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-28 | 2022-12-08 | N |
| Post nurse staffing information every day. | Health | 2022-10-28 | 2022-12-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-10-28 | 2022-12-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-28 | 2022-12-08 | 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 | 2022-10-28 | 2022-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-28 | 2022-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-28 | 2022-12-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-28 | 2022-12-08 | 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 | 2022-10-28 | 2022-12-08 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-10-28 | 2022-12-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-25 | 2022-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-01 | 2022-09-15 | Y |
| Post nurse staffing information every day. | Health | 2021-02-16 | 2021-03-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-02-16 | 2021-03-27 | 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 | 2021-02-16 | 2021-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-16 | 2021-03-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-02-09 | 2021-03-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-02-09 | 2021-03-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-09 | 2021-03-19 | N |
