Deficiency Records for Minocqua Health and Rehab
Updated as of June 01, 2022
This is not the most recent data for Minocqua Health and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Minocqua Health and Rehab. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-09 | 2022-04-25 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-03-09 | 2022-04-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-09 | 2022-04-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-09 | 2022-04-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-03-09 | 2022-04-08 | Y |
| Help the resident with transportation to and from laboratory services outside of the facility. | Health | 2022-03-09 | 2022-04-08 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-09 | 2022-04-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-15 | 2022-03-17 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-15 | 2022-03-17 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-12-20 | 2022-03-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-03 | 2022-01-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-20 | 2022-01-30 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-11-03 | 2021-12-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-03 | 2021-12-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-08-30 | 2021-08-30 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-09 | 2021-08-30 | 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 | 2021-06-09 | 2021-08-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-09 | 2021-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-09 | 2021-08-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-09 | 2021-08-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-14 | 2021-08-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-14 | 2021-08-23 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-07-14 | 2021-08-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-14 | 2021-08-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-14 | 2021-08-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-14 | 2021-08-23 | Y |
| 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 | 2021-07-14 | 2021-08-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-14 | 2021-08-23 | 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 | 2021-07-14 | 2021-08-23 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-07-14 | 2021-08-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-14 | 2021-08-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-14 | 2021-08-23 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2021-07-14 | 2021-08-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-14 | 2021-08-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-14 | 2021-08-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-14 | 2021-08-23 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-14 | 2021-08-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-14 | 2021-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-14 | 2021-08-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-14 | 2021-08-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-14 | 2021-08-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-14 | 2021-08-23 | Y |
| Post nurse staffing information every day. | Health | 2021-06-14 | 2021-08-23 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-10-09 | 2019-10-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-10-09 | 2019-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-09 | 2019-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-09 | 2019-10-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-10-09 | 2019-10-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-10-11 | 2019-10-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-11 | 2019-10-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-11 | 2019-10-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-11 | 2019-10-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-27 | 2018-10-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-27 | 2018-10-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-27 | 2018-10-01 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-08-27 | 2018-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-27 | 2018-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-20 | 2018-10-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-20 | 2018-10-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-20 | 2018-10-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-20 | 2018-10-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-14 | Not Fixed | N |
