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Deficiency Records for Powder River Manor
A list of the most recent deficiencies for Powder River 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 Powder River 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-04-02 | 2024-05-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-04-02 | 2024-05-15 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-04-02 | 2024-05-15 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-04-02 | 2024-05-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-04-02 | 2024-05-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-02 | 2024-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-02 | 2024-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-02 | 2024-05-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-04-02 | 2024-05-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-04-02 | 2024-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-14 | 2024-04-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-14 | 2024-04-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-14 | 2024-04-28 | 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 | 2024-03-14 | 2024-04-28 | 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 | 2024-03-14 | 2024-04-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-14 | 2024-04-15 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-03-02 | 2023-04-15 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-02 | 2023-04-15 | 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 | 2023-03-02 | 2023-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-02 | 2023-04-15 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-03-08 | 2023-04-15 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-03-08 | 2023-04-15 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-03-08 | 2023-04-15 | 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 | 2023-03-08 | 2023-04-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-08 | 2023-04-15 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-03-08 | 2023-04-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-08 | 2023-04-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-08 | 2023-04-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-04-18 | 2022-06-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-04-18 | 2022-06-20 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-04-18 | 2022-06-20 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-04-18 | 2022-06-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-04-18 | 2022-06-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-04-18 | 2022-06-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-04-18 | 2022-06-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-04-18 | 2022-06-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-04-18 | 2022-06-20 | 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 | 2022-04-18 | 2022-06-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-18 | 2022-06-20 | 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 | 2022-04-18 | 2022-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-18 | 2022-06-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-18 | 2022-06-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-18 | 2022-06-20 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-04-18 | 2022-06-20 | 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 | 2022-03-16 | 2022-05-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-16 | 2022-05-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-16 | 2022-05-12 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-03-16 | 2022-04-19 | N |
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