A list of the most recent deficiencies for Lake Winona 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-26 | 2023-12-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-10-26 | 2023-12-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-26 | 2023-12-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-26 | 2023-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-12-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-26 | 2023-12-01 | N |
| Post nurse staffing information every day. | Health | 2023-10-26 | 2023-12-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-26 | 2023-12-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-26 | 2023-12-01 | 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 | 2023-10-26 | 2023-12-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-10-26 | 2023-12-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-26 | 2023-12-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-26 | 2023-11-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-26 | 2023-11-23 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-10-26 | 2023-11-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-26 | 2023-11-21 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-10-26 | 2023-10-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-27 | 2022-07-19 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-04-14 | 2022-05-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-14 | 2022-05-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-14 | 2022-05-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-14 | 2022-05-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-04-14 | 2022-05-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-12 | 2022-05-16 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2022-04-12 | 2022-05-16 | 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 | 2022-04-12 | 2022-05-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-12 | 2022-05-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-12 | 2022-05-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-12 | 2022-05-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-12 | 2022-05-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-12 | 2022-05-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-12 | 2022-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-28 | 2021-10-20 | N |
| Respond appropriately to all alleged violations. | Health | 2021-05-12 | 2021-05-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-24 | 2019-12-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-24 | 2019-12-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-24 | 2019-12-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-22 | 2019-12-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-22 | 2019-11-30 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-10-22 | 2019-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-22 | 2019-11-30 | N |
