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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
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 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 Y
Ensure each resident receives an accurate assessment. Health 2021-10-20 2021-11-23 Y
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 Y
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 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-10-20 2021-11-23 Y
Provide and implement an infection prevention and control program. Health 2021-10-20 2021-11-23 Y
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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