Deficiency Records for Elk River Health and Nursing Center of Winchester
Updated as of May 01, 2024
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Deficiency Records for Elk River Health and Nursing Center of Winchester
A list of the most recent deficiencies for Elk River Health and Nursing Center of Winchester. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Elk River Health and Nursing Center of Winchester. 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 feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-12-14 | 2022-01-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-12 | 2022-01-05 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-12-12 | 2022-01-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-12-12 | 2022-01-05 | N |
| Establish methods for sharing information. | Fire Safety | 2021-12-12 | 2022-01-05 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-12-12 | 2022-01-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-07 | 2019-06-21 | 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 | 2019-05-07 | 2019-06-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-07 | 2019-06-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-16 | 2018-06-28 | 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 | 2018-05-16 | 2018-06-28 | 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 | 2018-05-16 | 2018-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-16 | 2018-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-16 | 2018-06-28 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-05-15 | 2018-06-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-05-15 | 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 | 2018-05-15 | 2018-06-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-15 | 2018-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-15 | 2018-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-15 | 2018-06-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-05-15 | 2018-06-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-15 | 2018-06-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-05-15 | 2018-06-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-05-15 | 2018-06-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-05-15 | 2018-06-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-15 | 2018-06-28 | N |
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