Deficiency Records for Wi Veterans Home-Boland Hall
Updated as of April 01, 2019
This is not the most recent data for Wi Veterans Home-Boland Hall. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-11-07 | 2018-12-07 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-11-07 | 2018-12-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-16 | 2018-10-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-01 | 2018-09-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-01 | 2018-09-01 | Y |
| 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 | 2017-12-14 | 2018-01-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-12-14 | 2018-01-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-19 | 2018-01-19 | 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 | 2017-12-19 | 2018-01-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-12-19 | 2018-01-19 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2017-12-19 | 2018-01-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2017-12-19 | 2018-01-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-19 | 2018-01-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-19 | 2018-01-19 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2017-12-19 | 2018-01-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-19 | 2018-01-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-19 | 2018-01-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2017-12-19 | 2018-01-19 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2017-12-19 | 2018-01-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2017-12-19 | 2018-01-19 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2017-12-19 | 2018-01-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-19 | 2018-01-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-12-19 | 2018-01-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2017-12-19 | 2018-01-19 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-06-15 | 2017-07-15 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-09-12 | 2016-10-14 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-09-12 | 2016-10-14 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-09-12 | 2016-10-14 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-09-14 | 2016-10-14 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-09-14 | 2016-10-14 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-09-14 | 2016-10-14 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-14 | 2016-10-14 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-09-14 | 2016-10-14 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-09-14 | 2016-10-14 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-09-14 | 2016-10-14 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-09-14 | 2016-10-14 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-09-14 | 2016-10-14 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-09-14 | 2016-10-14 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-09-14 | 2016-10-14 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-14 | 2016-10-14 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-14 | 2016-10-14 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-07-16 | 2015-08-16 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-07-16 | 2015-08-16 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-07-16 | 2015-08-16 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-07-16 | 2015-08-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-16 | 2015-08-16 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-07-16 | 2015-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-07-16 | 2015-08-16 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-07-16 | 2015-08-16 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-07-16 | 2015-08-16 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-07-16 | 2015-08-06 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-07-16 | 2015-08-05 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-07-16 | 2015-07-30 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-07-16 | 2015-07-30 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-07-16 | 2015-07-30 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-07-16 | 2015-07-23 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-07-16 | 2015-07-20 | N |
