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Deficiency Records for Wathena Healthcare and Rehabilitation Center
A list of the most recent deficiencies for Wathena Healthcare and Rehabilitation 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 Wathena Healthcare and Rehabilitation 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? |
|---|---|---|---|---|
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-05-15 | 2023-06-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-05-15 | 2023-06-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-15 | 2023-06-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-15 | 2023-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-15 | 2023-06-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-15 | 2023-06-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-26 | 2023-06-04 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-04-26 | 2023-06-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-26 | 2023-06-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-26 | 2023-06-04 | 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 | 2023-04-26 | 2023-06-04 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-26 | 2023-06-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-26 | 2023-06-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-26 | 2023-06-04 | N |
| 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 | 2023-04-26 | 2023-06-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-26 | 2023-06-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-26 | 2023-06-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-26 | 2023-06-04 | 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 | 2023-04-26 | 2023-06-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-11-15 | 2021-12-01 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-11-15 | 2021-12-01 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-11-15 | 2021-12-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-11-15 | 2021-12-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-15 | 2021-12-01 | 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 | 2021-11-15 | 2021-12-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-15 | 2021-12-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-15 | 2021-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-15 | 2021-12-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-15 | 2021-12-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-15 | 2021-12-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-15 | 2021-12-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-15 | 2021-12-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-20 | 2021-11-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-20 | 2021-11-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-20 | 2021-11-23 | 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 | 2021-10-20 | 2021-11-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-20 | 2021-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-20 | 2021-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-20 | 2021-11-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-31 | 2020-02-12 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-12-31 | 2020-02-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-31 | 2020-02-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-12-31 | 2020-02-12 | N |
| Post nurse staffing information every day. | Health | 2019-12-31 | 2020-02-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-10-23 | 2019-11-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-23 | 2019-11-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-23 | 2019-11-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-23 | 2019-11-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-23 | 2019-11-23 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-10-23 | 2019-11-23 | N |
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