Deficiency Records for Wolf River Healthcare LLC
Updated as of May 01, 2022
This is not the most recent data for Wolf River Healthcare LLC. For the most recent information, click here.
A list of the most recent deficiencies for Wolf River Healthcare LLC. 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? |
|---|---|---|---|---|
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-02-23 | 2022-03-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-23 | 2022-03-23 | 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 | 2022-02-23 | 2022-03-23 | 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 | 2022-02-23 | 2022-03-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-23 | 2022-03-23 | 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 | 2022-02-23 | 2022-03-23 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-02-23 | 2022-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-23 | 2022-03-23 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-02-23 | 2022-03-23 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-02-23 | 2022-03-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-23 | 2022-03-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-03-24 | 2021-04-20 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-03-24 | 2021-04-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-03-24 | 2021-04-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-24 | 2021-04-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-24 | 2021-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-24 | 2021-04-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-03-25 | 2021-04-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-03-25 | 2021-04-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-29 | 2020-10-21 | 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 | 2020-09-29 | 2020-10-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-09-29 | 2020-09-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-09-29 | 2020-09-29 | Y |
| Have an externally vented heating system. | Fire Safety | 2019-09-19 | 2020-06-19 | 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 | 2020-03-03 | 2020-04-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-03-03 | 2020-04-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-03 | 2020-04-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-03-03 | 2020-04-03 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-09-19 | 2019-10-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-19 | 2019-10-18 | 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 | 2019-09-18 | 2019-10-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-18 | 2019-10-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-18 | 2019-10-10 | N |
