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Deficiency Records for Western Prairie Senior Living LLC

A list of the most recent deficiencies for Western Prairie Senior Living LLC. 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 Western Prairie Senior Living LLC. 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?
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-01-19 2024-02-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-19 2024-02-01 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2024-01-19 2024-02-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-01-19 2024-02-01 N
Ensure each resident receives an accurate assessment. Health 2023-12-07 2024-01-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-07 2024-01-07 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-12-07 2024-01-07 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2023-12-07 2024-01-07 N
Provide and implement an infection prevention and control program. Health 2023-12-07 2024-01-07 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-12-07 2024-01-07 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2022-01-27 2022-02-24 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 2022-01-27 2022-02-24 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-01-27 2022-02-24 Y
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 2022-01-27 2022-02-24 Y
Provide properly protected cooking facilities. Fire Safety 2022-02-10 2022-02-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-02-10 2022-02-22 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-02-10 2022-02-22 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 2020-02-06 2020-02-28 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 2020-02-06 2020-02-28 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2020-02-06 2020-02-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-02-06 2020-02-28 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 2020-02-06 2020-02-28 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 2020-02-06 2020-02-28 N
Provide and implement an infection prevention and control program. Health 2020-02-06 2020-02-28 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 2019-11-06 2019-11-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-11-06 2019-11-20 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-11-06 2019-11-20 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-11-06 2019-11-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-11-06 2019-11-20 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-11-06 2019-11-20 N

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