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Deficiency Records for Stevens Point Health Services
View the most recent health deficiencies and inspection results for Stevens Point Health Services. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Stevens Point Health Services. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2025-07-23 | 2025-08-18 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-07-23 | 2025-08-18 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-07-23 | 2025-08-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-07-23 | 2025-08-18 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-07-23 | 2025-08-18 | 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 | 2025-07-23 | 2025-08-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-07-23 | 2025-08-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-07-23 | 2025-08-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-23 | 2025-08-18 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-07-23 | 2025-08-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-23 | 2025-08-18 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2025-07-23 | 2025-08-12 | 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 | 2025-07-23 | 2025-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-13 | 2025-07-10 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2025-06-13 | 2025-07-10 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-06-13 | 2025-07-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-13 | 2025-07-10 | Y |
| 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 | 2025-06-13 | 2025-07-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-08 | 2025-05-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-04-08 | 2025-05-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-08 | 2025-05-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-08 | 2025-05-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-02-11 | 2025-03-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-02-11 | 2025-03-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-06 | 2024-12-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-06 | 2024-12-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-13 | 2024-09-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-13 | 2024-09-06 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-08 | 2024-08-01 | 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 | 2024-05-08 | 2024-06-21 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-05-08 | 2024-06-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-05-08 | 2024-06-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-05-08 | 2024-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-08 | 2024-06-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-08 | 2024-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-08 | 2024-06-21 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-05-08 | 2024-06-21 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-05-08 | 2024-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-08 | 2024-06-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-08 | 2024-06-05 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-05-08 | 2024-06-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-05-08 | 2024-06-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-05-08 | 2024-06-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-08 | 2024-06-03 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-05-08 | 2024-06-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-08 | 2024-06-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-08 | 2024-06-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-08 | 2024-06-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-05-08 | 2024-06-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-02-12 | 2024-03-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-12 | 2024-03-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-12 | 2024-03-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-08 | 2024-02-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-08 | 2024-02-01 | 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 | 2024-01-08 | 2024-01-15 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-22 | 2023-12-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-21 | 2023-07-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-21 | 2023-07-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-21 | 2023-07-18 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-18 | 2023-05-11 | 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 | 2023-04-18 | 2023-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-18 | 2023-05-11 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-04-18 | 2023-05-05 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-04-18 | 2023-05-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-18 | 2023-05-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-18 | 2023-05-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-18 | 2023-05-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-04-18 | 2023-05-05 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-04-18 | 2023-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-18 | 2023-05-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-07-23 | Not Fixed | N |