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Deficiency Records for Wheat State Manor
A list of the most recent deficiencies for Wheat State Manor. 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 Wheat State Manor. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-11 | 2024-03-27 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-03-11 | 2024-03-27 | 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 | 2024-03-11 | 2024-03-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-03-11 | 2024-03-27 | N |
| Post nurse staffing information every day. | Health | 2024-03-11 | 2024-03-27 | 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 | 2024-03-11 | 2024-03-27 | 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 | 2024-03-11 | 2024-03-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-05 | 2024-03-21 | 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 | 2024-03-05 | 2024-03-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-05 | 2024-03-21 | 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 | 2024-03-05 | 2024-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-05 | 2024-03-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-05 | 2024-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-05 | 2024-03-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-05 | 2024-03-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-05 | 2024-03-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-30 | 2023-12-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-30 | 2023-12-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2023-12-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-13 | 2023-09-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-13 | 2023-09-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-27 | 2023-07-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-27 | 2023-07-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-16 | 2022-07-01 | 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 | 2022-06-16 | 2022-07-01 | 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 | 2022-06-16 | 2022-07-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-16 | 2022-07-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-16 | 2022-07-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-16 | 2022-07-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-16 | 2022-07-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-06-16 | 2022-07-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-16 | 2022-07-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-25 | 2022-05-27 | 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 | 2022-04-25 | 2022-05-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-25 | 2022-05-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-25 | 2022-05-27 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-04-25 | 2022-05-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-25 | 2022-05-27 | 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 | 2022-04-25 | 2022-05-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-25 | 2022-05-27 | 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 | 2022-04-25 | 2022-05-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-25 | 2022-05-27 | 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 | 2022-04-25 | 2022-05-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-04-25 | 2022-05-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-27 | 2022-02-14 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Develop a communication plan. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Use approved construction type or materials. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-04 | 2021-04-02 | 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 | 2021-03-04 | 2021-04-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-04 | 2021-04-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-04 | 2021-04-02 | 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 | 2021-02-04 | 2021-03-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-04 | 2021-03-11 | 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 | 2021-02-04 | 2021-03-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-02-04 | 2021-03-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-02-04 | 2021-03-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-04 | 2021-03-11 | N |
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