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Deficiency Records for Wolf Creek Care Center
A list of the most recent deficiencies for Wolf Creek Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Wolf Creek Care Center. 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 and implement an infection prevention and control program. | Health | 2023-12-28 | 2024-01-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-12 | 2023-10-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-02 | 2023-05-12 | 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 | 2023-03-30 | 2023-04-21 | 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 | 2022-11-08 | 2023-01-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-08 | 2023-01-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-08 | 2023-01-04 | 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 | 2022-11-08 | 2023-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-08 | 2023-01-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-08 | 2023-01-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-08 | 2023-01-04 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-11-08 | 2023-01-04 | Y |
| 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 | 2022-11-08 | 2023-01-04 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-11-04 | 2022-12-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-04 | 2022-12-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-04 | 2022-12-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-11-04 | 2022-12-13 | 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 | 2022-11-04 | 2022-12-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-04 | 2022-12-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-04 | 2022-12-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-04 | 2022-12-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-04 | 2022-12-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-11-22 | 2022-12-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-22 | 2022-12-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-19 | 2022-11-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-04 | 2022-10-20 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-04 | 2022-10-20 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2019-12-16 | 2020-01-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-12-16 | 2020-01-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-16 | 2020-01-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-16 | 2020-01-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-16 | 2020-01-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-07 | 2019-12-27 | N |
| 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 | 2019-11-07 | 2019-12-27 | N |
| Protect a residents' right to refuse some types of non-requested transfers within the nursing home. | Health | 2019-11-07 | 2019-12-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-07 | 2019-12-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-07 | 2019-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-07 | 2019-12-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Use approved construction type or materials. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| 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 | 2019-01-10 | 2019-02-28 | N |
| 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 | 2019-01-10 | 2019-02-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-10 | 2019-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-10 | 2019-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-10 | 2019-02-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-10 | 2019-02-28 | N |
| Post nurse staffing information every day. | Health | 2019-01-10 | 2019-02-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-10 | 2019-02-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-01-10 | 2019-02-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-10 | 2019-02-28 | 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 | 2019-01-10 | 2019-02-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-10 | 2019-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-10 | 2019-02-28 | N |
| Keep all essential equipment working safely. | Health | 2019-01-10 | 2019-02-28 | N |
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