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Deficiency Records for Centracare Health System-Sauk Centre Nursing Home
A list of the most recent deficiencies for Centracare Health System-Sauk Centre Nursing Home. 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 Centracare Health System-Sauk Centre Nursing Home. 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 | 2024-08-21 | 2024-09-03 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-14 | 2024-02-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-14 | 2024-02-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-02-14 | 2024-02-26 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-01-26 | 2023-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-26 | 2023-02-23 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-01-26 | 2023-02-21 | 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 | 2023-01-26 | 2023-02-09 | 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 | 2021-08-18 | 2021-11-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-18 | 2021-11-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-18 | 2021-11-10 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-08-18 | 2021-11-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-18 | 2021-10-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-18 | 2021-10-31 | N |
| Provide activities to meet all resident's needs. | Health | 2021-08-19 | 2021-10-13 | 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 | 2021-08-19 | 2021-10-13 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-08-19 | 2021-10-13 | N |
| Keep all essential equipment working safely. | Health | 2021-08-19 | 2021-10-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-18 | 2021-08-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-18 | 2021-08-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-18 | 2021-08-19 | N |
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