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Deficiency Records for Little Chute Health Services

A list of the most recent deficiencies for Little Chute 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 Little Chute 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?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-26 2024-05-10 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-03-26 2024-05-10 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 2024-03-26 2024-04-26 N
Provide properly protected cooking facilities. Fire Safety 2024-03-26 2024-04-25 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 2024-03-27 2024-04-22 N
Create arrangements with other facilities to receive patients. Fire Safety 2024-03-26 2024-04-22 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-03-26 2024-04-22 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-03-26 2024-04-22 N
Have proper medical gas storage and administration areas. Fire Safety 2024-03-26 2024-04-22 N
Ensure that sources of ignition are removed from patients receiving respiratory therapy. Fire Safety 2024-03-26 2024-04-22 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-27 2024-03-27 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-01-10 2024-02-05 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-05-31 2023-06-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-29 2023-05-03 N
Provide and implement an infection prevention and control program. Health 2023-03-29 2023-05-03 N
Establish emergency prep training and testing. Fire Safety 2023-03-28 2023-04-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-28 2023-04-25 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-03-28 2023-04-25 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-03-28 2023-04-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-03-28 2023-04-25 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-05-27 2022-06-25 Y
Ensure staff are vaccinated for COVID-19 Health 2022-05-27 2022-06-25 Y
Give the resident's representative the ability to exercise the resident's rights. Health 2022-04-06 2022-05-16 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-04-06 2022-05-16 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 2022-04-06 2022-05-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-04-06 2022-05-16 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-06 2022-05-16 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-04-06 2022-05-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-04-06 2022-05-16 N
Provide and implement an infection prevention and control program. Health 2022-04-06 2022-05-16 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-04-06 2022-05-16 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-04-06 2022-05-16 Y
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2022-04-07 2022-05-16 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 2022-04-07 2022-05-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-04-07 2022-05-16 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-04-07 2022-05-16 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-04-07 2022-05-16 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-04-07 2022-05-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-04-07 2022-05-16 N

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