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Deficiency Records for Appleton City Manor
A list of the most recent deficiencies for Appleton City Manor. 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 Appleton City Manor. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-12 | 2024-05-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-12 | 2024-05-24 | 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 | 2024-04-12 | 2024-05-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-28 | 2024-05-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-28 | 2024-05-24 | 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 | 2024-02-28 | 2024-05-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-28 | 2024-04-05 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-11-09 | 2023-12-22 | Y |
| 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 | 2023-11-09 | 2023-12-22 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-11-09 | 2023-12-22 | 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 | 2022-08-22 | 2022-10-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-22 | 2022-10-04 | 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 | 2022-08-22 | 2022-10-04 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-08-22 | 2022-10-04 | 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 | 2022-08-22 | 2022-10-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-22 | 2022-10-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-22 | 2022-10-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-22 | 2022-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-22 | 2022-10-04 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-08-22 | 2022-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-22 | 2022-10-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-22 | 2022-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-22 | 2022-10-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-22 | 2022-10-04 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-08-22 | 2022-10-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-22 | 2022-10-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-22 | 2022-10-04 | 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 | 2021-11-30 | 2022-01-10 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-09-12 | 2019-10-27 | 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 | 2019-09-12 | 2019-10-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-12 | 2019-10-27 | 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 | 2019-09-12 | 2019-10-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-12 | 2019-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-12 | 2019-10-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-09-12 | 2019-10-27 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-08-30 | 2018-10-19 | 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 | 2018-08-30 | 2018-10-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-30 | 2018-10-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-30 | 2018-10-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-30 | 2018-09-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-30 | 2018-09-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-30 | 2018-09-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-08-30 | 2018-09-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-08-30 | 2018-09-21 | N |
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