A list of the most recent deficiencies for Williams 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2024-01-24 | 2024-02-21 | 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 | 2024-01-24 | 2024-02-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-01-24 | 2024-02-21 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-01-24 | 2024-02-21 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-01-24 | 2024-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-24 | 2024-02-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-24 | 2024-02-21 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-01-24 | 2024-02-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-22 | 2023-10-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-22 | 2023-10-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-22 | 2023-10-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-03 | 2022-11-01 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-10-03 | 2022-11-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-10-03 | 2022-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-03 | 2022-11-01 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-09-29 | 2022-11-01 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2022-09-29 | 2022-11-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-09-29 | 2022-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-29 | 2022-11-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-29 | 2022-11-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-29 | 2022-11-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-29 | 2022-11-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-20 | 2022-08-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-20 | 2022-08-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-20 | 2022-08-12 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-07-20 | 2022-08-12 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-08 | 2021-06-24 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-06-08 | 2021-06-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-08 | 2021-06-17 | N |
| 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 | 2021-06-08 | 2021-06-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-08 | 2021-06-09 | N |
