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Deficiency Records for Oglala Sioux Lakota Nursing Home
A list of the most recent deficiencies for Oglala Sioux Lakota 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 Oglala Sioux Lakota 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-12 | 2024-10-03 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-09-12 | 2024-10-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-09-12 | 2024-10-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-12 | 2024-10-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-12 | 2024-10-03 | 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 | 2024-09-12 | 2024-10-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-12 | 2024-10-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-12 | 2024-10-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-12 | 2024-10-03 | 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 | 2024-09-12 | 2024-10-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-12 | 2024-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-12 | 2024-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-12 | 2024-10-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-12 | 2024-10-03 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-09-12 | 2024-10-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-11 | 2024-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-11 | 2024-10-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-11 | 2024-10-03 | 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 | 2023-08-29 | 2023-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-29 | 2023-09-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-23 | 2023-09-16 | 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 | 2023-08-23 | 2023-09-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-23 | 2023-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-23 | 2023-09-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-23 | 2023-09-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-08-23 | 2023-09-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-23 | 2023-09-16 | N |
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