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Deficiency Records for Boundary Waters Care Center
A list of the most recent deficiencies for Boundary Waters 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 Boundary Waters 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-01-25 | 2024-02-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-25 | 2024-02-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-25 | 2024-02-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-25 | 2024-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-02-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-25 | 2024-02-24 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2024-01-23 | 2024-02-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-01-23 | 2024-02-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-01-23 | 2024-02-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-23 | 2024-02-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-23 | 2024-02-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-23 | 2024-02-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-23 | 2024-02-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-23 | 2024-02-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-20 | 2023-05-25 | 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 | 2023-04-20 | 2023-05-25 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-04-20 | 2023-05-25 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-04-20 | 2023-05-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-20 | 2023-05-25 | 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 | 2023-04-20 | 2023-05-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-20 | 2023-05-25 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-04-20 | 2023-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-20 | 2023-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-20 | 2023-05-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-20 | 2023-05-25 | 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 | 2023-04-18 | 2023-05-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-18 | 2023-05-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-18 | 2023-05-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-18 | 2023-05-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-10 | 2022-04-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-10 | 2022-04-08 | 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 | 2022-03-10 | 2022-04-08 | 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 | 2022-03-10 | 2022-04-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-10 | 2022-04-08 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-03-10 | 2022-04-08 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-03-10 | 2022-04-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-10 | 2022-04-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-10 | 2022-04-08 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-03-10 | 2022-04-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-08 | 2022-04-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-08 | 2022-04-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-08 | 2022-04-08 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2022-03-08 | 2022-04-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-08 | 2022-04-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-08 | 2022-04-08 | N |
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