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Deficiency Records for Azria Health Prairie Ridge

A list of the most recent deficiencies for Azria Health Prairie Ridge. 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 Azria Health Prairie Ridge. 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?
Conduct risk assessment and an All-Hazards approach. Fire Safety 2024-09-04 2024-10-04 N
Conduct testing and exercise requirements. Fire Safety 2024-09-04 2024-10-04 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 2024-09-04 2024-10-04 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-09-04 2024-10-04 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-09-04 2024-10-04 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-09-04 2024-10-04 N
Have proper medical gas storage and administration areas. Fire Safety 2024-09-04 2024-10-04 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-08-29 2024-09-29 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2024-08-29 2024-09-29 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-08-29 2024-09-29 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-08-29 2024-09-29 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 2024-06-11 2024-07-11 Y
Provide and implement an infection prevention and control program. Health 2024-06-11 2024-07-11 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-12-06 2024-01-12 N
1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to. Health 2023-12-06 2024-01-12 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 2023-12-06 2024-01-12 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-12-06 2024-01-12 N
Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. Health 2023-12-06 2024-01-12 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2023-12-06 2024-01-12 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-12-06 2024-01-12 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-12-06 2024-01-12 N
Assess the resident when there is a significant change in condition Health 2023-12-06 2024-01-12 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2023-12-06 2024-01-12 N
Ensure each resident receives an accurate assessment. Health 2023-12-06 2024-01-12 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-12-06 2024-01-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-06 2024-01-12 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 2023-12-06 2024-01-12 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-12-06 2024-01-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-06 2024-01-12 N
Assist a resident in gaining access to vision and hearing services. Health 2023-12-06 2024-01-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-06 2024-01-12 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-12-06 2024-01-12 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2023-12-06 2024-01-12 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-12-06 2024-01-12 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-12-06 2024-01-12 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-12-06 2024-01-12 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2023-12-06 2024-01-12 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-12-06 2024-01-12 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 2023-12-06 2024-01-12 Y
Provide and implement an infection prevention and control program. Health 2023-12-06 2024-01-12 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-12-07 2024-01-07 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-12-07 2024-01-07 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-12-07 2024-01-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-12-07 2024-01-07 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-12-07 2024-01-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-12-07 2024-01-07 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2023-12-07 2024-01-07 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-07-08 2022-08-03 N
Provide and implement an infection prevention and control program. Health 2022-07-08 2022-08-03 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-08 2022-08-03 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 2022-07-08 2022-08-03 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-07-11 2022-07-26 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-07-11 2022-07-12 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2022-07-11 2022-07-12 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-02-07 2022-02-22 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-02-07 2022-02-22 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-02-07 2022-02-22 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-07 2022-02-22 Y

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