Deficiency Records for Sturgeon Bay Health Services
Updated as of October 01, 2016
This is not the most recent data for Sturgeon Bay Health Services. For the most recent information, click here.
A list of the most recent deficiencies for Sturgeon Bay Health Services. 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? |
|---|---|---|---|---|
| A two-hour-resistant firewall separation. | Fire Safety | 2016-01-07 | 2016-02-06 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-01-07 | 2016-02-06 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-01-07 | 2016-02-06 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-01-07 | 2016-02-06 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-01-07 | 2016-02-06 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2016-01-07 | 2016-02-06 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-01-06 | 2016-02-06 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-01-06 | 2016-02-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-01-06 | 2016-02-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-06 | 2016-02-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-01-06 | 2016-02-06 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2016-01-07 | 2016-02-06 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-01-07 | 2016-02-06 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-01-07 | 2016-02-06 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-01-07 | 2016-02-06 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-01-07 | 2016-02-06 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2016-01-07 | 2016-02-06 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-01-06 | 2016-02-06 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-01-06 | 2016-02-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-01-06 | 2016-02-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-06 | 2016-02-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-01-06 | 2016-02-06 | N |
| Provide timely notification to the resident before transfer or discharge. | Health | 2015-06-17 | 2015-07-16 | Y |
| Provide timely notification to the resident before transfer or discharge. | Health | 2015-06-17 | 2015-07-16 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-11-13 | 2014-12-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-11-13 | 2014-12-13 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-11-13 | 2014-12-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-11-13 | 2014-12-13 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-11-11 | 2014-12-13 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-11-11 | 2014-12-13 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-11-13 | 2014-12-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-11-13 | 2014-12-13 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-11-13 | 2014-12-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-11-13 | 2014-12-13 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-11-11 | 2014-12-13 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-11-11 | 2014-12-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2014-11-13 | 2014-12-12 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-11-11 | 2014-12-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2014-11-13 | 2014-12-12 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-11-11 | 2014-12-12 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-11-13 | 2014-12-11 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-11-13 | 2014-12-11 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-11-13 | 2014-12-11 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-11-13 | 2014-12-11 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-11-13 | 2014-12-11 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-11-13 | 2014-12-11 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2014-11-13 | 2014-12-08 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2014-11-13 | 2014-12-08 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2014-11-13 | 2014-11-25 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2014-11-13 | 2014-11-25 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-11-13 | 2014-11-13 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-11-13 | 2014-11-13 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2013-11-14 | 2013-12-14 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2013-11-14 | 2013-12-14 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-11-14 | 2013-12-14 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2013-11-14 | 2013-12-14 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2013-11-14 | 2013-12-14 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2013-11-14 | 2013-12-14 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-11-14 | 2013-12-14 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2013-11-14 | 2013-12-14 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-11-12 | 2013-12-11 | N |
| Rooms that can be unlocked from inside without a key. | Fire Safety | 2013-11-12 | 2013-12-11 | N |
| Properly maintained smoke detectors. | Fire Safety | 2013-11-12 | 2013-12-11 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-11-12 | 2013-12-11 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2013-11-12 | 2013-12-11 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-11-12 | 2013-12-11 | N |
| Rooms that can be unlocked from inside without a key. | Fire Safety | 2013-11-12 | 2013-12-11 | N |
| Properly maintained smoke detectors. | Fire Safety | 2013-11-12 | 2013-12-11 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-11-12 | 2013-12-11 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2013-11-12 | 2013-12-11 | N |
