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Deficiency Records for Cura of Le Sueur
A list of the most recent deficiencies for Cura of Le Sueur. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Cura of Le Sueur. 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 exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-01-15 | 2025-03-17 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-01-15 | 2025-03-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-15 | 2025-03-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-15 | 2025-03-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-01-15 | 2025-03-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-15 | 2025-03-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-01-15 | 2025-03-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-16 | 2025-03-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-01-16 | 2025-03-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-16 | 2025-03-16 | 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 | 2025-01-16 | 2025-03-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-01-16 | 2025-03-16 | 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 | 2025-01-16 | 2025-03-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-01-16 | 2025-03-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-01-16 | 2025-03-16 | 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 | 2025-01-16 | 2025-03-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-16 | 2025-03-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-16 | 2025-03-16 | Y |
| 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 | 2025-01-16 | 2025-03-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-16 | 2025-03-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-16 | 2025-03-16 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-16 | 2025-03-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-03 | 2024-11-01 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-10-03 | 2024-10-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-02 | 2024-06-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-02 | 2024-06-15 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-03-27 | 2024-05-28 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-03-27 | 2024-05-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-27 | 2024-05-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-03-27 | 2024-05-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-26 | 2023-06-02 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-26 | 2023-06-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-04-26 | 2023-06-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-04-26 | 2023-06-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-04-26 | 2023-06-01 | 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 | 2023-04-26 | 2023-05-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-26 | 2023-05-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-25 | 2023-05-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-16 | Not Fixed | N |
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