A list of the most recent deficiencies for Premier Estates of Pawnee, LLC. 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 | 2023-11-02 | 2023-12-17 | 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 | 2023-11-02 | 2023-12-17 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-11-02 | 2023-12-17 | 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 | 2023-11-02 | 2023-12-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-02 | 2023-12-17 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-02 | 2023-12-17 | N |
| 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 | 2023-11-02 | 2023-12-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-11-02 | 2023-12-17 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-11-02 | 2023-12-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-02 | 2023-12-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-02 | 2023-12-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-02 | 2023-12-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-09-15 | 2022-10-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-15 | 2022-10-03 | 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 | 2022-09-15 | 2022-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-15 | 2022-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-15 | 2022-10-03 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-09-15 | 2022-10-03 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-09-15 | 2022-10-03 | 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 | 2022-09-15 | 2022-10-03 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-09-15 | 2022-10-03 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-15 | 2022-10-03 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-09-15 | 2022-10-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-15 | 2022-10-03 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-09-15 | 2022-10-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-15 | 2022-10-03 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-09-15 | 2022-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-15 | 2022-10-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-15 | 2022-10-03 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-09-15 | 2022-10-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-15 | 2022-10-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-15 | 2022-10-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-15 | 2022-10-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-15 | 2022-10-03 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-09-15 | 2022-10-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-15 | 2022-10-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-09-15 | 2022-10-03 | 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 | 2021-03-09 | 2021-04-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-03-09 | 2021-04-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-09 | 2021-04-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-03-09 | 2021-04-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-03-09 | 2021-04-07 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-03-09 | 2021-04-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-09 | 2021-04-07 | 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 | 2021-03-09 | 2021-04-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-09 | 2021-04-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-09 | 2021-04-07 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2021-03-09 | 2021-04-07 | Y |
| 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 | 2021-03-09 | 2021-04-07 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-03-09 | 2021-04-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-09 | 2021-04-07 | Y |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2021-03-09 | 2021-04-07 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2021-03-04 | 2021-04-07 | N |
| 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 | 2021-03-04 | 2021-04-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-03-04 | 2021-04-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-03-04 | 2021-04-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-04 | 2021-04-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-03-04 | 2021-04-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-03-04 | 2021-04-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-03-04 | 2021-04-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-04 | 2021-04-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-03-04 | 2021-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-04 | 2021-04-07 | N |
