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Deficiency Records for Gundersen St Elizabeth's Care Center
View the most recent health deficiencies and inspection results for Gundersen St Elizabeth's Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Gundersen St Elizabeth's Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-05-21 | 2025-08-13 | Y |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2025-05-21 | 2025-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-21 | 2025-07-31 | 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 | 2025-05-21 | 2025-07-31 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-05-21 | 2025-07-31 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-05-21 | 2025-07-31 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2025-05-21 | 2025-07-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-21 | 2025-07-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-21 | 2025-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-21 | 2025-06-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-05-21 | 2025-06-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-04 | 2024-05-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-04 | 2024-05-31 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-04-04 | 2024-05-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-04 | 2024-05-01 | 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 | 2024-04-04 | 2024-04-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-04 | 2024-04-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-04-04 | 2024-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-04 | 2024-04-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-04-04 | 2024-04-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-04 | 2024-04-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-12 | 2023-02-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-12 | 2023-02-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-12 | 2023-02-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-12 | 2023-02-09 | N |