Deficiency Records for Onalaska Care Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Onalaska Care Center. 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?
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-12-06 2024-01-06 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-12-06 2024-01-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-06 2024-01-05 N
Provide and implement an infection prevention and control program. Health 2023-12-06 2024-01-05 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-10-05 2023-01-05 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 2022-10-05 2022-11-05 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 2022-10-05 2022-11-05 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2022-10-05 2022-11-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-10-05 2022-11-05 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-10-05 2022-11-05 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-05 2022-11-05 N
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Health 2021-08-19 2021-09-17 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-08-19 2021-09-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-08-19 2021-09-17 N
Install proper backup exit lighting. Fire Safety 2021-08-19 2021-09-17 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 2021-08-19 2021-09-17 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2021-08-19 2021-09-17 N
Have an alternate power supply for its alarm system. Fire Safety 2021-08-19 2021-09-17 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2021-08-19 2021-09-17 N
Install an approved automatic sprinkler system. Fire Safety 2021-08-19 2021-09-17 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2021-08-19 2021-09-17 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-08-19 2021-09-17 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-08-19 2021-09-17 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-08-19 2021-09-17 N
Provide a written emergency evacuation plan. Fire Safety 2021-08-19 2021-09-17 N
Have restrictions on the use of portable space heaters. Fire Safety 2021-08-19 2021-09-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-08-19 2021-09-17 N
Have proper medical gas storage and administration areas. Fire Safety 2021-08-19 2021-09-17 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 2021-06-02 2021-07-02 Y
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-08-19 Not Fixed N