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Deficiency Records for Aitkin Health Services
A list of the most recent deficiencies for Aitkin 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 Aitkin 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-10 | 2024-08-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-10 | 2024-08-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-10 | 2024-08-05 | Y |
| 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 | 2024-07-10 | 2024-08-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-10 | 2024-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-24 | 2024-05-17 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-07 | 2024-04-29 | 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 | 2024-03-07 | 2024-04-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-07 | 2024-04-20 | 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 | 2024-03-07 | 2024-04-20 | 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 | 2024-03-07 | 2024-04-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-04 | 2024-04-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-03-04 | 2024-04-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-04 | 2024-04-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-03-07 | 2024-04-12 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-03-07 | 2024-04-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-01-12 | 2024-02-16 | 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 | 2024-01-12 | 2024-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-21 | 2024-02-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-02-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-08 | 2023-10-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-08 | 2023-10-20 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-02 | 2023-04-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-02 | 2023-04-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-02 | 2023-04-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-02 | 2023-04-12 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-02-02 | 2023-04-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-02 | 2023-03-24 | 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 | 2023-02-02 | 2023-03-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-02 | 2023-03-24 | 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 | 2023-02-02 | 2023-03-24 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-02-02 | 2023-03-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-29 | 2023-01-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-06 | 2023-01-13 | Y |
| 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 | 2022-12-29 | 2022-12-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-21 | 2022-08-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-21 | 2022-08-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-15 | 2021-11-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-10-15 | 2021-11-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-10-15 | 2021-11-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-13 | 2021-11-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-13 | 2021-11-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-13 | 2021-11-23 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-10-13 | 2021-11-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-10-13 | 2021-11-23 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-10-13 | 2021-11-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-13 | 2021-11-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-15 | 2021-11-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-15 | 2021-11-20 | 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 | 2021-10-15 | 2021-11-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-15 | 2021-11-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-15 | 2021-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-15 | 2021-11-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-15 | 2021-11-20 | N |
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