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Deficiency Records for Wi Veterans Hm Ainsworth Hall
View the most recent health deficiencies and inspection results for Wi Veterans Hm Ainsworth Hall. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Wi Veterans Hm Ainsworth Hall. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-03-19 | 2025-06-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-03-19 | 2025-06-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-19 | 2025-05-22 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2025-03-19 | 2025-04-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-03-19 | 2025-04-18 | 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 | 2025-03-19 | 2025-04-18 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-03-19 | 2025-04-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-19 | 2025-04-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-03-19 | 2025-04-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-19 | 2025-04-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-19 | 2025-04-18 | 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 | 2025-03-19 | 2025-04-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-19 | 2025-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-19 | 2025-04-18 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2025-03-19 | 2025-04-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-03-19 | 2025-04-18 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2025-03-19 | 2025-04-18 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2025-03-19 | 2025-04-15 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-03-19 | 2025-04-15 | 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 | 2025-03-19 | 2025-04-14 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-03-19 | 2025-04-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-03-19 | 2025-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-19 | 2025-03-27 | N |
| 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 | 2025-03-19 | 2025-03-27 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2025-03-19 | 2025-03-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-19 | 2025-03-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-07-31 | 2024-06-30 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-31 | 2024-06-30 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-01-31 | 2024-06-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-31 | 2024-05-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-01-31 | 2024-03-22 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-01-31 | 2024-02-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-31 | 2024-02-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-31 | 2024-02-05 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-01-31 | 2024-02-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-31 | 2023-08-30 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-07-31 | 2023-08-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-20 | 2023-08-20 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-07 | 2023-01-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-07 | 2023-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-07 | 2023-01-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-07 | 2023-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-07 | 2023-01-06 | N |