Deficiency Records for Premier Estates of Pawnee, LLC
Updated as of March 01, 2022
This is not the most recent data for Premier Estates of Pawnee, LLC. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2020-10-28 | 2020-11-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-16 | 2019-11-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-16 | 2019-10-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-09-16 | 2019-10-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-16 | 2019-10-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-16 | 2019-10-31 | 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 | 2019-09-16 | 2019-10-31 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-09-16 | 2019-10-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-16 | 2019-10-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-16 | 2019-10-31 | 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 | 2019-09-16 | 2019-10-31 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-09-16 | 2019-10-31 | 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 | 2019-09-16 | 2019-10-31 | 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 | 2019-09-16 | 2019-10-31 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-09-16 | 2019-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-16 | 2019-10-31 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-09-16 | 2019-10-31 | 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 | 2019-09-16 | 2019-10-31 | 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 | 2019-09-16 | 2019-10-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-16 | 2019-10-31 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-09-16 | 2019-10-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-16 | 2019-10-31 | Y |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2019-09-16 | 2019-10-31 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-09-16 | 2019-10-31 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-16 | 2019-10-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-09-13 | 2019-10-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-13 | 2019-10-30 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-09-13 | 2019-10-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-13 | 2019-10-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-13 | 2019-10-30 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2019-04-15 | 2019-05-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-15 | 2019-05-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-04-15 | 2019-05-08 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-04-15 | 2019-05-08 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-04-15 | 2019-05-08 | Y |
| 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 | 2019-04-15 | 2019-05-08 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-04-15 | 2019-05-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-15 | 2019-05-08 | Y |
| Keep all essential equipment working safely. | Health | 2019-04-15 | 2019-05-08 | 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 | 2018-05-24 | 2018-06-28 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-05-24 | 2018-06-28 | 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 | 2018-05-24 | 2018-06-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-24 | 2018-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-24 | 2018-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-24 | 2018-06-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-05-24 | 2018-06-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-24 | 2018-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-24 | 2018-06-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-05-14 | 2018-06-11 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-05-14 | 2018-06-11 | N |
