Deficiency Records for Sturgeon Bay Health Services
Updated as of May 01, 2022
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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-07-14 | 2021-08-11 | 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 | 2021-07-14 | 2021-08-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-07-14 | 2021-08-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-07-14 | 2021-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-14 | 2021-08-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-12 | 2021-08-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-12 | 2021-08-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-12 | 2021-08-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-12 | 2021-08-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-12 | 2021-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-18 | 2020-07-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-20 | 2020-01-29 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-09-04 | 2019-10-10 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-10 | 2019-08-09 | 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 | 2019-07-10 | 2019-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-10 | 2019-08-09 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-07-10 | 2019-08-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-10 | 2019-07-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-08 | 2018-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-08 | 2018-05-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-05-08 | 2018-05-30 | N |
