A list of the most recent deficiencies for Medicine Wheel Village. 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 food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-03 | 2023-09-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-03 | 2023-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-03 | 2023-09-20 | N |
| Use approved construction type or materials. | Fire Safety | 2023-08-03 | 2023-09-20 | 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 | 2023-08-03 | 2023-09-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-03 | 2023-09-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-08-03 | 2023-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-03 | 2023-09-20 | N |
| Have an externally vented heating system. | Fire Safety | 2022-04-11 | 2022-05-16 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-04-06 | 2022-05-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-06 | 2022-05-11 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-04-06 | 2022-05-11 | 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 | 2022-04-11 | 2022-05-03 | 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 | 2020-02-28 | 2021-07-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-28 | 2021-07-14 | 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 | 2020-02-28 | 2021-07-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-28 | 2021-07-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-28 | 2021-07-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-28 | 2021-07-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-28 | 2021-07-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2020-02-28 | 2021-07-14 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-02-28 | 2020-04-18 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-02-28 | 2020-04-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-28 | 2020-04-18 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-02-28 | 2020-04-18 | 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 | 2020-02-28 | 2020-04-18 | N |
| Post nurse staffing information every day. | Health | 2020-02-28 | 2020-04-18 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2020-02-28 | 2020-04-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-28 | 2020-04-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-02-28 | 2020-03-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-02-28 | 2020-03-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-02-28 | 2020-03-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-28 | 2020-03-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-03 | Not Fixed | N |
