Deficiency Records for Sturgeon Bay Health Services
Updated as of January 01, 2023
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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-17 | 2022-09-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-17 | 2022-09-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-18 | 2022-08-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-18 | 2022-08-19 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-08-18 | 2022-08-19 | N |
| 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 |
| 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 |
