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Deficiency Records for Iron River Care Center
A list of the most recent deficiencies for Iron River Care 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 Iron River Care 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? |
|---|---|---|---|---|
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-08-28 | 2024-09-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-28 | 2024-09-30 | N |
| Respond appropriately to all alleged violations. | Health | 2024-08-28 | 2024-09-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-28 | 2024-09-30 | 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 | 2024-08-28 | 2024-09-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-28 | 2024-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-28 | 2024-09-30 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-08-28 | 2024-09-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-28 | 2024-09-30 | 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 | 2024-08-28 | 2024-09-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-28 | 2024-09-30 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-08-28 | 2024-09-30 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-08-28 | 2024-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-28 | 2024-09-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-28 | 2024-09-30 | 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 | 2024-08-28 | 2024-09-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-28 | 2024-09-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-28 | 2024-09-30 | 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 | 2023-08-24 | 2023-10-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-24 | 2023-10-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-24 | 2023-10-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-18 | 2023-10-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-18 | 2023-10-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-24 | 2023-09-22 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-08-24 | 2023-09-22 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-08-24 | 2023-09-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-24 | 2023-09-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-24 | 2023-09-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-24 | 2023-09-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-24 | 2023-09-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-24 | 2023-09-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2023-09-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-24 | 2023-09-22 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-24 | 2023-09-22 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-08-18 | 2023-09-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-18 | 2023-09-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-18 | 2023-09-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-18 | 2023-09-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-18 | 2023-09-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-08-18 | 2023-09-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-18 | 2023-09-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-08-18 | 2023-09-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-18 | 2023-09-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-18 | 2023-09-22 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-08-18 | 2023-09-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-18 | 2023-09-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-20 | 2022-09-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-26 | 2022-09-02 | 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 | 2022-07-26 | 2022-09-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-07-26 | 2022-09-02 | 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 | 2022-07-26 | 2022-09-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-26 | 2022-09-02 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-07-26 | 2022-09-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-26 | 2022-09-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-26 | 2022-09-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-26 | 2022-09-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-07-26 | 2022-09-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-26 | 2022-09-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-26 | 2022-09-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-26 | 2022-09-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-20 | 2022-08-21 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-07-20 | 2022-08-21 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-07-20 | 2022-08-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-20 | 2022-08-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-20 | 2022-08-21 | 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 | 2022-07-20 | 2022-08-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-07-20 | 2022-08-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-20 | 2022-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-20 | 2022-08-21 | 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 | 2022-07-20 | 2022-08-21 | 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 | 2022-07-20 | 2022-08-21 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-07-20 | 2022-08-21 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2022-07-20 | 2022-08-21 | 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 | 2022-07-20 | 2022-08-21 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-07-20 | 2022-08-21 | 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 | 2022-07-20 | 2022-08-21 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2022-07-20 | 2022-08-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-07-20 | 2022-08-21 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-07-20 | 2022-08-21 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-07-20 | 2022-08-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-20 | 2022-08-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-20 | 2022-08-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-20 | 2022-08-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-19 | 2022-07-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-02 | 2022-03-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-02 | 2022-02-03 | Y |
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