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Deficiency Records for Wilson's Creek Nursing and Rehab

A list of the most recent deficiencies for Wilson's Creek Nursing and Rehab. 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 Wilson's Creek Nursing and Rehab. 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 that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-12-06 2024-01-20 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-11-30 2024-01-14 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-11-30 2024-01-14 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 2023-11-30 2024-01-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-30 2024-01-10 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 2023-11-30 2024-01-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-30 2024-01-10 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-12-06 2024-01-10 N
Have proper medical gas storage and administration areas. Fire Safety 2023-12-06 2024-01-10 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-12-06 2024-01-08 N
Ensure medication error rates are not 5 percent or greater. Health 2023-11-30 2024-01-02 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 2023-11-30 2024-01-01 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-12-06 2023-12-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-12-06 2023-12-12 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-08-28 2023-10-11 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-08-28 2023-10-11 Y
Respond appropriately to all alleged violations. Health 2023-08-28 2023-10-11 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-21 2022-08-25 Y
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 2021-07-20 2021-09-03 N
Provide enough food/fluids to maintain a resident's health. Health 2021-07-20 2021-09-03 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-07-20 2021-09-03 N
Use approved construction type or materials. Fire Safety 2021-07-20 2021-09-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-07-20 2021-09-03 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-07-20 2021-09-03 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-07-20 2021-08-26 N
Ensure medication error rates are not 5 percent or greater. Health 2021-07-20 2021-08-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-20 2021-08-26 N
Provide and implement an infection prevention and control program. Health 2021-07-20 2021-08-26 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 2021-07-20 2021-07-26 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-07-20 2021-07-26 N
Have proper medical gas storage and administration areas. Fire Safety 2021-07-20 2021-07-26 N
Have exits that are accessible at all times. Fire Safety 2019-10-31 2019-12-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-10-31 2019-11-22 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2019-10-31 2019-11-22 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2019-10-31 2019-11-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-10-31 2019-11-10 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-10-31 2019-11-08 N
Ensure staff are vaccinated for COVID-19 Health 2022-03-31 Not Fixed Y

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