A list of the most recent deficiencies for Whitewater 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2023-07-20 | 2023-09-06 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-07-20 | 2023-09-06 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-07-20 | 2023-09-06 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-07-20 | 2023-09-06 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-07-20 | 2023-09-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-20 | 2023-09-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-20 | 2023-09-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-20 | 2023-09-06 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-07-20 | 2023-09-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-07-19 | 2023-09-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-19 | 2023-09-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-07-19 | 2023-09-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-19 | 2023-09-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-19 | 2023-09-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-19 | 2023-09-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-19 | 2023-09-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-19 | 2023-09-06 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-12-06 | 2021-12-16 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-10-18 | 2021-12-01 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-10-18 | 2021-12-01 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-10-18 | 2021-12-01 | 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 | 2021-10-18 | 2021-12-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-18 | 2021-12-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-10-18 | 2021-12-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-18 | 2021-12-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-18 | 2021-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-18 | 2021-12-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-18 | 2021-12-01 | 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 | 2021-10-18 | 2021-12-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-18 | 2021-12-01 | 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 | 2021-10-18 | 2021-12-01 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2021-10-18 | 2021-12-01 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2021-10-18 | 2021-12-01 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-10-18 | 2021-12-01 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-10-18 | 2021-12-01 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-10-18 | 2021-12-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-10-18 | 2021-12-01 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-10-18 | 2021-12-01 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-10-18 | 2021-12-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-10-18 | 2021-12-01 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-10-18 | 2021-12-01 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-10-18 | 2021-12-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-10-18 | 2021-12-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-10-12 | 2021-12-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-12 | 2021-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-12 | 2021-12-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-10-12 | 2021-12-01 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-10-12 | 2021-12-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-12 | 2021-12-01 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-10-12 | 2021-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-19 | 2021-08-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-19 | 2021-07-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-03 | 2021-07-09 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2019-06-21 | 2019-08-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-06-21 | 2019-08-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-06-21 | 2019-08-02 | N |
| 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 | 2019-06-21 | 2019-08-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-21 | 2019-08-02 | 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 | 2019-06-21 | 2019-08-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-06-21 | 2019-08-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-06-21 | 2019-08-02 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-06-21 | 2019-08-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-21 | 2019-08-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-21 | 2019-08-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-21 | 2019-08-02 | 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 | 2019-06-21 | 2019-08-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-21 | 2019-08-02 | 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 | 2019-06-21 | 2019-08-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-21 | 2019-08-02 | 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 | 2019-06-21 | 2019-08-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-21 | 2019-08-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-21 | 2019-08-02 | 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 | 2019-06-21 | 2019-08-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-21 | 2019-08-02 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-06-21 | 2019-08-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-21 | 2019-08-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-06-21 | 2019-08-02 | 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 | 2019-06-20 | 2019-07-31 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-06-20 | 2019-07-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-20 | 2019-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-20 | 2019-07-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-20 | 2019-07-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-20 | 2019-07-31 | N |
