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Deficiency Records for Lindengrove Waukesha
A list of the most recent deficiencies for Lindengrove Waukesha. 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 Lindengrove Waukesha. 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-06-11 | 2024-07-10 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-06-11 | 2024-07-10 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-06-11 | 2024-07-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-11 | 2024-07-10 | Y |
| 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 | 2024-06-11 | 2024-07-10 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-06-11 | 2024-07-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-11 | 2024-07-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-11 | 2024-07-10 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-06-11 | 2024-07-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-11 | 2024-07-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-11 | 2024-07-10 | 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 | 2024-06-11 | 2024-07-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-11 | 2024-07-10 | Y |
| Post nurse staffing information every day. | Health | 2024-06-11 | 2024-07-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-11 | 2024-07-10 | Y |
| 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 | 2024-06-11 | 2024-07-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-11 | 2024-07-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-11 | 2024-07-10 | Y |
| 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 | 2024-06-11 | 2024-07-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-11 | 2024-07-10 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-05-30 | 2024-07-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-30 | 2024-07-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-30 | 2024-07-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-30 | 2024-07-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-30 | 2024-07-10 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-03-27 | 2024-04-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-27 | 2024-04-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-27 | 2024-04-27 | 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 | 2024-03-27 | 2024-04-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-27 | 2024-04-27 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2023-02-09 | 2023-04-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-09 | 2023-04-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-09 | 2023-04-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-09 | 2023-03-31 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2023-02-09 | 2023-03-24 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-09 | 2023-03-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-13 | 2023-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-13 | 2023-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-13 | 2023-03-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-13 | 2023-03-13 | 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 | 2023-02-13 | 2023-03-09 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-02-09 | 2023-03-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-09 | 2023-03-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-09 | 2023-03-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-09 | 2023-02-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-02-09 | 2023-02-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-09 | 2023-02-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-09 | 2023-02-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-09 | 2023-02-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-09 | 2023-02-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-09 | 2023-02-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-01-04 | 2022-02-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-04 | 2022-02-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-04 | 2022-02-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-04 | 2022-02-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-05 | 2022-01-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-05 | 2022-01-12 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-01-05 | 2022-01-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-01-05 | 2022-01-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-01-05 | 2022-01-07 | N |
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