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Deficiency Records for Williams Bay Health Services

A list of the most recent deficiencies for Williams Bay Health Services. 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 Williams Bay Health Services. 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?
Use approved construction type or materials. Fire Safety 2024-01-24 2024-02-21 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 2024-01-24 2024-02-21 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2024-01-24 2024-02-21 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2024-01-24 2024-02-21 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2024-01-24 2024-02-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-24 2024-02-21 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-01-24 2024-02-21 N
Have power receptacles that are properly grounded. Fire Safety 2024-01-24 2024-02-21 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-22 2023-10-23 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-09-22 2023-10-23 Y
Respond appropriately to all alleged violations. Health 2023-09-22 2023-10-23 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-10-03 2022-11-01 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2022-10-03 2022-11-01 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 2022-10-03 2022-11-01 N
Provide and implement an infection prevention and control program. Health 2022-10-03 2022-11-01 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2022-09-29 2022-11-01 N
Install resident room doors of proper design and width. Fire Safety 2022-09-29 2022-11-01 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-09-29 2022-11-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-29 2022-11-01 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-09-29 2022-11-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-09-29 2022-11-01 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-09-29 2022-11-01 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-07-20 2022-08-12 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-07-20 2022-08-12 Y
Respond appropriately to all alleged violations. Health 2022-07-20 2022-08-12 Y
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2022-07-20 2022-08-12 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-06-08 2021-06-24 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2021-06-08 2021-06-18 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-06-08 2021-06-17 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 2021-06-08 2021-06-11 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-06-08 2021-06-09 N

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