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Deficiency Records for Sturgeon Bay Health Services
View the most recent health deficiencies and inspection results for Sturgeon Bay Health Services. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Sturgeon Bay Health Services. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2026-03-04 | 2026-04-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-04 | 2026-03-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-03-04 | 2026-03-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-03-04 | 2026-03-25 | 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 | 2026-03-04 | 2026-03-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-03-04 | 2026-03-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-03-04 | 2026-03-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-03-04 | 2026-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-08 | 2025-08-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-06 | 2025-07-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-22 | 2025-02-13 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-10-30 | 2024-11-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-30 | 2024-11-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-10-30 | 2024-11-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-30 | 2024-11-25 | 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 | 2024-10-30 | 2024-11-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-30 | 2024-11-19 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-10-30 | 2024-11-19 | 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 | 2024-10-30 | 2024-11-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-30 | 2024-11-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-30 | 2024-11-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-10-30 | 2024-11-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-30 | 2024-11-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-10-30 | 2024-11-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-04 | 2023-11-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-04 | 2023-11-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-04 | 2023-11-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-04 | 2023-11-16 | 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 | 2023-10-04 | 2023-11-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-10-04 | 2023-11-03 | N |
| Use approved construction type or materials. | Fire Safety | 2023-10-04 | 2023-11-03 | 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 | 2023-10-04 | 2023-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-04 | 2023-10-27 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-10-04 | 2023-10-27 | N |