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Deficiency Records for Lindengrove Waukesha
View the most recent health deficiencies and inspection results for Lindengrove Waukesha. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lindengrove Waukesha. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-21 | 2026-02-10 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-25 | 2025-12-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-09-25 | 2025-12-17 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-09-25 | 2025-12-17 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-09-25 | 2025-12-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-09-25 | 2025-12-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-09-25 | 2025-12-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-25 | 2025-10-23 | Y |
| Provide training in compliance and ethics. | Health | 2025-09-25 | 2025-10-23 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-09-25 | 2025-10-23 | 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 | 2025-09-25 | 2025-10-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-09-25 | 2025-10-23 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-09-25 | 2025-10-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-25 | 2025-10-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-09-25 | 2025-10-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-25 | 2025-10-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-25 | 2025-10-23 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-09-25 | 2025-10-23 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-09-25 | 2025-10-23 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2025-09-25 | 2025-10-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-29 | 2025-06-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-29 | 2025-06-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-29 | 2025-06-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-11 | 2024-07-10 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-06-11 | 2024-07-10 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-06-11 | 2024-07-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-06-11 | 2024-07-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-06-11 | 2024-07-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-11 | 2024-07-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-11 | 2024-07-10 | N |
| Provide activities to meet all resident's needs. | Health | 2024-06-11 | 2024-07-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-11 | 2024-07-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-11 | 2024-07-10 | N |
| 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 | 2024-06-11 | 2024-07-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-11 | 2024-07-10 | N |
| Post nurse staffing information every day. | Health | 2024-06-11 | 2024-07-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-11 | 2024-07-10 | 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 | 2024-06-11 | 2024-07-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-11 | 2024-07-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-11 | 2024-07-10 | 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 | 2024-06-11 | 2024-07-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-11 | 2024-07-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-11 | 2024-07-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-11 | 2024-07-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-11 | 2024-07-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-06-11 | 2024-07-10 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-06-11 | 2024-07-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-11 | 2024-07-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-27 | 2024-04-27 | 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 | 2024-03-27 | 2024-04-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-27 | 2024-04-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-27 | 2024-04-27 | Y |
| 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 | 2024-03-27 | 2024-04-27 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-13 | 2023-04-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-13 | 2023-04-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-02-13 | 2023-04-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-13 | 2023-03-31 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-13 | 2023-03-24 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2023-02-13 | 2023-03-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-13 | 2023-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-13 | 2023-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-13 | 2023-03-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-13 | 2023-03-13 | 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 | 2023-02-13 | 2023-03-09 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-02-13 | 2023-03-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-13 | 2023-03-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-13 | 2023-03-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-13 | 2023-02-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-02-13 | 2023-02-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-13 | 2023-02-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-13 | 2023-02-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-13 | 2023-02-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-13 | 2023-02-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-13 | 2023-02-09 | N |