A list of the most recent deficiencies for Lindengrove Menomonee Falls. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-17 | 2024-02-16 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-01-17 | 2024-02-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-17 | 2024-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-17 | 2024-02-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-17 | 2024-02-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-07 | 2023-05-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-07 | 2023-05-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-07 | 2023-05-07 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-04-07 | 2023-05-07 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-04-07 | 2023-05-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-15 | 2022-10-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-15 | 2022-10-15 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-09-14 | 2022-10-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-14 | 2022-10-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-14 | 2022-10-15 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2021-06-07 | 2021-06-26 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-06-07 | 2021-06-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-07 | 2021-06-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-07 | 2021-06-26 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-06-07 | 2021-06-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-07 | 2019-09-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-07 | 2019-09-07 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-07 | 2019-09-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-07 | 2019-09-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-07 | 2019-09-07 | 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 | 2019-08-07 | 2019-09-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-07 | 2019-09-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-07 | 2019-09-07 | 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 | 2019-08-07 | 2019-09-07 | 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 | 2019-08-07 | 2019-09-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-07 | 2019-09-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-07 | 2019-09-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-06 | 2019-08-21 | N |
