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Deficiency Records for Menominee Health Services

A list of the most recent deficiencies for Menominee Health Services. 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 Menominee Health Services. 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?
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 2024-04-03 2024-06-11 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-04-03 2024-05-10 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2024-04-03 2024-05-10 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2024-04-03 2024-05-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-03 2024-05-10 N
Provide and implement an infection prevention and control program. Health 2024-04-03 2024-05-10 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2024-04-03 2024-05-10 N
Have exits that are accessible at all times. Fire Safety 2023-05-24 2023-08-23 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 2023-05-24 2023-06-14 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-05-24 2023-06-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-24 2023-06-14 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-05-24 2023-06-14 N
Have restrictions on the use of portable space heaters. Fire Safety 2023-05-24 2023-06-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-03-23 2022-06-27 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2022-03-23 2022-05-02 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-03-23 2022-04-24 N
Implement emergency and standby power systems. Fire Safety 2022-03-23 2022-04-24 N
Provide and implement an infection prevention and control program. Health 2022-03-23 2022-04-21 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-03-23 2022-04-19 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2022-03-23 2022-04-19 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 2022-03-23 2022-04-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-23 2022-04-19 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 2022-03-23 2022-04-19 N
Ensure staff are vaccinated for COVID-19 Health 2022-03-23 2022-04-19 N

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