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Deficiency Records for Avina of Weyauwega
View the most recent health deficiencies and inspection results for Avina of Weyauwega. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Avina of Weyauwega. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-04-28 | 2026-05-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-06 | 2026-03-31 | Y |
| 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 | 2025-10-07 | 2025-12-01 | 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 | 2025-08-27 | 2025-09-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-08-27 | 2025-09-22 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2025-08-27 | 2025-09-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-06-27 | 2025-07-23 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-04-17 | 2025-05-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-17 | 2025-05-15 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2025-04-17 | 2025-05-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-04-17 | 2025-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-17 | 2025-05-15 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-04-17 | 2025-05-15 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2025-04-17 | 2025-05-15 | 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 | 2025-04-17 | 2025-05-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-04-17 | 2025-05-15 | 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 | 2025-04-17 | 2025-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-17 | 2025-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-17 | 2025-05-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-04-17 | 2025-05-15 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-04-17 | 2025-05-15 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-04-17 | 2025-05-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-17 | 2025-05-15 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-04-17 | 2025-05-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-17 | 2025-05-15 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-04-17 | 2025-05-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-17 | 2025-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-17 | 2025-05-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-04-17 | 2025-05-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-04-17 | 2025-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-17 | 2025-05-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-04-17 | 2025-05-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2025-04-17 | 2025-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-17 | 2025-05-15 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2025-04-17 | 2025-05-15 | 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 | 2025-04-17 | 2025-05-15 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2025-04-17 | 2025-05-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-04-17 | 2025-05-15 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2025-02-18 | 2025-03-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-18 | 2025-03-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-01-14 | 2025-02-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-14 | 2025-02-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-14 | 2025-02-10 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-01-14 | 2025-02-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-14 | 2025-02-10 | Y |
| 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 | 2025-01-14 | 2025-02-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-08 | 2024-10-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-24 | 2024-08-12 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-07-24 | 2024-08-12 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-02-14 | 2024-06-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-14 | 2024-04-12 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-02-14 | 2024-03-13 | 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 | 2024-02-14 | 2024-03-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-14 | 2024-03-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-14 | 2024-03-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-02-14 | 2024-03-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-14 | 2024-03-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-14 | 2024-03-13 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-02-14 | 2024-03-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-14 | 2024-03-13 | N |
| 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 | 2024-02-14 | 2024-03-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-14 | 2024-03-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-14 | 2024-03-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-14 | 2024-03-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-01 | 2023-11-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-01 | 2023-11-22 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-12 | 2023-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-12 | 2023-02-28 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-01-12 | 2023-02-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-01-12 | 2023-02-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-01-12 | 2023-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-12 | 2023-02-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-01-12 | 2023-02-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-01-12 | 2023-02-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-12 | 2023-02-28 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-01-12 | 2023-02-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-01-12 | 2023-02-28 | 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 | 2023-01-12 | 2023-02-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-01-12 | 2023-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-12 | 2023-02-14 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-01-12 | 2023-02-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-12 | 2023-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-12 | 2023-02-14 | N |
| Respond appropriately to all alleged violations. | Health | 2023-01-12 | 2023-02-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-12 | 2023-02-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-12 | 2023-02-14 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-01-12 | 2023-02-06 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-01-12 | 2023-02-06 | N |