A list of the most recent deficiencies for Kewaunee 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-12 | 2023-02-10 | 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 | 2023-01-12 | 2023-02-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-12 | 2023-02-10 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-01-12 | 2023-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-12 | 2023-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-12 | 2023-02-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-13 | 2023-02-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-13 | 2022-02-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-13 | 2022-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-02-04 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-01-12 | 2022-02-04 | 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 | 2022-01-12 | 2022-02-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-01-12 | 2022-02-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-12 | 2022-02-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-12 | 2022-02-04 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-02-23 | 2021-04-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-23 | 2021-04-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-24 | 2021-04-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-02-24 | 2021-03-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-02-24 | 2021-03-19 | 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 | 2021-02-24 | 2021-03-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-02-24 | 2021-03-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-02-24 | 2021-03-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-02-24 | 2021-03-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-02-23 | 2021-03-11 | N |
| Develop a communication plan. | Fire Safety | 2021-02-23 | 2021-03-11 | N |
