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Deficiency Records for Whitefish Care and Rehabilitation
A list of the most recent deficiencies for Whitefish Care and Rehabilitation. 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 Whitefish Care and Rehabilitation. 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-08 | 2024-06-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-14 | 2024-04-26 | 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 | 2024-03-14 | 2024-04-26 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-03-14 | 2024-04-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-14 | 2024-04-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-14 | 2024-04-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-14 | 2024-04-26 | 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 | 2024-04-26 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-03-14 | 2024-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-14 | 2024-04-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-03-14 | 2024-04-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-03-19 | 2024-04-22 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-03-19 | 2024-04-22 | 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 | 2024-03-19 | 2024-04-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-03-19 | 2024-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-19 | 2024-04-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-19 | 2024-04-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-19 | 2024-04-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-19 | 2024-04-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-03-19 | 2024-04-22 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-29 | 2023-09-13 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-29 | 2023-09-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-24 | 2023-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-24 | 2023-06-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-24 | 2023-06-14 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-03-02 | 2023-03-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-02 | 2023-03-24 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-02 | 2023-03-24 | 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 | 2023-03-02 | 2023-03-24 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-03-02 | 2023-03-24 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-03-02 | 2023-03-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-02 | 2023-03-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-02 | 2023-03-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-02 | 2023-03-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-02 | 2023-03-24 | 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 | 2023-03-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-02 | 2023-03-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-02 | 2023-03-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-02 | 2023-03-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-02 | 2023-03-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-02 | 2023-03-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-02 | 2023-03-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-14 | 2023-01-24 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-12-14 | 2023-01-24 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-12-14 | 2023-01-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-14 | 2023-01-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-14 | 2023-01-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-14 | 2023-01-12 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-04-13 | 2022-05-13 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-04-13 | 2022-05-13 | 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 | 2022-04-13 | 2022-05-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-13 | 2022-05-13 | 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 | 2022-04-13 | 2022-05-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-13 | 2022-05-13 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-04-13 | 2022-05-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-13 | 2022-05-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-04-13 | 2022-05-13 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-04-13 | 2022-05-13 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-04-13 | 2022-05-13 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-13 | 2022-05-13 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-04-13 | 2022-05-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-13 | 2022-05-13 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-05 | 2022-05-10 | 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 | 2022-04-05 | 2022-05-10 | 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 | 2022-04-05 | 2022-05-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-05 | 2022-05-10 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2022-04-05 | 2022-05-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-05 | 2022-05-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-05 | 2022-05-10 | N |
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