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Deficiency Records for Wisconsin Dells Health Services
A list of the most recent deficiencies for Wisconsin Dells 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 Wisconsin Dells 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? |
|---|---|---|---|---|
| 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 | 2024-05-21 | 2024-06-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-21 | 2024-06-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-21 | 2024-06-13 | 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 | 2024-04-17 | 2024-05-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-04-17 | 2024-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-17 | 2024-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-17 | 2024-05-15 | 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 | 2024-04-16 | 2024-05-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-16 | 2024-05-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-16 | 2024-05-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-16 | 2024-05-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-16 | 2024-05-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-16 | 2024-05-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-16 | 2024-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-27 | 2024-03-13 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-02-01 | 2023-03-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-01 | 2023-03-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-01 | 2023-03-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-01 | 2023-03-10 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-02-01 | 2023-03-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-02 | 2023-02-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-02 | 2023-02-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-02-02 | 2023-02-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-02 | 2023-02-24 | N |
| Provide activities to meet all resident's needs. | Health | 2023-02-02 | 2023-02-23 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-02-02 | 2023-02-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-01 | 2023-02-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-01 | 2023-02-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-01 | 2023-02-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-01 | 2023-02-21 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-02-01 | 2023-02-21 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-02-01 | 2023-02-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-10-29 | 2022-08-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-23 | 2022-03-22 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-10-29 | 2021-12-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-27 | 2021-12-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-27 | 2021-12-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-27 | 2021-12-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-27 | 2021-12-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-27 | 2021-12-03 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-10-27 | 2021-12-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-27 | 2021-12-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-27 | 2021-12-03 | Y |
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