A list of the most recent deficiencies for Wi Veterans Home-Boland Hall. 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 appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-16 | 2023-11-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-16 | 2023-11-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-16 | 2023-11-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-16 | 2023-11-03 | 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 | 2023-10-16 | 2023-11-03 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-11 | 2023-11-02 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-10-11 | 2023-10-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-11 | 2023-10-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-11 | 2023-10-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-11 | 2023-10-24 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-10-11 | 2023-10-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-10-11 | 2023-10-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-11 | 2023-10-13 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-08-23 | 2022-10-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-23 | 2022-09-16 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-08-23 | 2022-09-16 | Y |
| 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 | 2022-08-23 | 2022-09-16 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-18 | 2022-09-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-18 | 2022-09-16 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-08-18 | 2022-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-18 | 2022-09-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-18 | 2022-09-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-23 | 2022-09-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-23 | 2022-09-09 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-18 | 2022-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-18 | 2022-08-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-18 | 2022-08-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-22 | 2022-07-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-22 | 2022-07-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-02 | 2022-03-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-02 | 2022-03-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-02 | 2022-03-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-02 | 2022-03-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-02 | 2022-03-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-11 | 2021-08-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-11 | 2021-08-24 | Y |
| 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 | 2021-08-11 | 2021-08-24 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-04 | 2021-06-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-04 | 2021-06-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-19 | 2021-06-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-19 | 2021-06-17 | 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 | 2021-05-19 | 2021-06-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-19 | 2021-06-16 | 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 | 2021-05-19 | 2021-06-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-19 | 2021-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-19 | 2021-06-16 | N |
| Respond appropriately to all alleged violations. | Health | 2021-05-19 | 2021-06-16 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-05-19 | 2021-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-19 | 2021-06-15 | 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 | 2021-05-19 | 2021-06-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-04 | 2021-06-07 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-05-19 | 2021-05-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-04 | 2021-05-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-04 | 2021-05-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-05-04 | 2021-05-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-04 | 2021-05-06 | N |
