A list of the most recent deficiencies for Spearfish Canyon Healthcare. 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 | 2024-02-06 | 2024-03-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-06 | 2024-03-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-07 | 2024-03-15 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-02-07 | 2024-03-15 | 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 | 2024-02-07 | 2024-03-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-07 | 2024-03-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-07 | 2024-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-07 | 2024-03-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-02-07 | 2024-03-15 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-02-07 | 2024-03-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-02-07 | 2024-03-15 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-02-02 | 2023-03-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-02 | 2023-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-02 | 2023-03-01 | 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 | 2023-02-02 | 2023-03-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-30 | 2022-01-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-30 | 2022-01-27 | 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 | 2021-12-30 | 2022-01-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-30 | 2022-01-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-30 | 2022-01-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-30 | 2022-01-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-06 | 2021-11-25 | N |
