A list of the most recent deficiencies for Wilson Nursing Center. 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 | 2023-10-04 | 2023-10-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-04 | 2023-10-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-04 | 2023-10-23 | 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 | 2023-06-29 | 2023-08-29 | 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 | 2023-06-29 | 2023-08-29 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-06-29 | 2023-08-29 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-10-27 | 2022-02-08 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-10-27 | 2022-02-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-27 | 2022-02-08 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-10-27 | 2022-02-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-27 | 2022-02-08 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-10-27 | 2022-02-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-27 | 2022-02-08 | 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 | 2021-10-27 | 2022-02-08 | 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 | 2021-10-27 | 2022-02-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-10-26 | 2021-11-19 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-10-26 | 2021-11-19 | 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 | 2021-10-26 | 2021-11-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-26 | 2021-11-12 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-10-26 | 2021-11-02 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-10-26 | 2021-11-02 | 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 | 2019-04-24 | 2019-06-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-24 | 2019-06-28 | 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 | 2019-04-24 | 2019-06-28 | 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 | 2019-04-24 | 2019-06-28 | N |
| 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 | 2019-04-24 | 2019-06-28 | 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 | 2019-04-24 | 2019-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-24 | 2019-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-24 | 2019-06-28 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-04-23 | 2019-06-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-04-23 | 2019-06-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-04-23 | 2019-06-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-23 | 2019-06-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-23 | 2019-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-23 | 2019-06-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-23 | 2019-06-28 | N |
