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 |