A list of the most recent deficiencies for Wilson's Creek Nursing and Rehab. 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 that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-12-06 | 2024-01-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-30 | 2024-01-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-11-30 | 2024-01-14 | 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 | 2023-11-30 | 2024-01-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-30 | 2024-01-10 | 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 | 2023-11-30 | 2024-01-10 | 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 | 2024-01-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-06 | 2024-01-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-06 | 2024-01-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-12-06 | 2024-01-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-30 | 2024-01-02 | 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 | 2023-11-30 | 2024-01-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-06 | 2023-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-06 | 2023-12-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-28 | 2023-10-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-28 | 2023-10-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-28 | 2023-10-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-21 | 2022-08-25 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-20 | 2021-09-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-20 | 2021-09-03 | 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 | 2021-07-20 | 2021-09-03 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-07-20 | 2021-09-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-20 | 2021-09-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-20 | 2021-09-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-20 | 2021-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-20 | 2021-08-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-20 | 2021-08-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-20 | 2021-08-26 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-07-20 | 2021-07-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-20 | 2021-07-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-20 | 2021-07-26 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-05-10 | 2021-06-02 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2019-10-31 | 2019-12-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-31 | 2019-11-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-31 | 2019-11-22 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-10-31 | 2019-11-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-31 | 2019-11-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-31 | 2019-11-08 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-31 | Not Fixed | Y |
