Deficiency Records for Stevens Point Health Services
Updated as of November 01, 2020
This is not the most recent data for Stevens Point Health Services. For the most recent information, click here.
A list of the most recent deficiencies for Stevens Point 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? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-03-13 | 2019-04-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-13 | 2019-04-26 | 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 | 2019-03-13 | 2019-04-26 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-03-13 | 2019-04-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-13 | 2019-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-13 | 2019-04-26 | 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 | 2019-03-13 | 2019-04-26 | N |
| Post nurse staffing information every day. | Health | 2019-03-13 | 2019-04-26 | 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 | 2019-03-13 | 2019-04-26 | 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 | 2019-03-13 | 2019-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-13 | 2019-04-26 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-04-19 | 2018-05-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-19 | 2018-05-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-04-19 | 2018-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-19 | 2018-05-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-04-19 | 2018-05-17 | N |
| Have an externally vented heating system. | Fire Safety | 2018-04-19 | 2018-05-17 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-04-19 | 2018-05-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-19 | 2018-05-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-19 | 2018-05-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-02-07 | 2017-03-08 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-02-07 | 2017-03-08 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-08 | 2017-03-08 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-08 | 2017-03-08 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-08 | 2017-03-08 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-08 | 2017-03-08 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-02-08 | 2017-03-08 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-02-08 | 2017-03-08 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2017-02-08 | 2017-03-08 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-08 | 2017-03-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-08 | 2017-03-08 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-02-08 | 2017-03-08 | N |
