A list of the most recent deficiencies for Solheim Senior Community. 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 residents are fully informed and understand their health status, care and treatments. | Health | 2023-10-05 | 2023-10-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-05 | 2023-10-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-05 | 2023-10-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-05 | 2023-10-31 | 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 | 2023-10-05 | 2023-10-31 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-05 | 2023-10-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-05 | 2023-10-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-05 | 2023-10-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-05 | 2023-10-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-05 | 2023-10-31 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-10-05 | 2023-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-05 | 2023-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-10-31 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-10-10 | 2023-10-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-10 | 2023-10-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-15 | 2023-06-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-24 | 2022-11-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-24 | 2022-11-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-10-24 | 2022-11-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-24 | 2022-11-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-10-24 | 2022-11-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-24 | 2022-11-17 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-10-24 | 2022-11-17 | 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 | 2022-10-24 | 2022-11-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-24 | 2022-11-17 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-10-24 | 2022-11-17 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-10-24 | 2022-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-24 | 2022-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-24 | 2022-11-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-10-22 | 2022-11-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-22 | 2022-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-21 | 2021-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-28 | 2021-10-07 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-14 | 2019-10-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-14 | 2019-10-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-14 | 2019-10-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-08 | 2019-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-08 | 2019-09-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-08 | 2019-09-30 | N |
