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Deficiency Records for Dove Healthcare - Spooner
A list of the most recent deficiencies for Dove Healthcare - Spooner. 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 Dove Healthcare - Spooner. 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? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2024-05-22 | 2024-09-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-23 | 2024-06-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-23 | 2024-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-23 | 2024-06-20 | 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 | 2024-05-23 | 2024-06-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-23 | 2024-06-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-23 | 2024-06-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-23 | 2024-06-20 | N |
| 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 | 2024-05-23 | 2024-06-20 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-05-23 | 2024-06-20 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-05-23 | 2024-06-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-23 | 2024-06-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-23 | 2024-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-06-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-23 | 2024-06-20 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-22 | 2024-06-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-12 | 2023-05-11 | 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 | 2023-04-12 | 2023-05-11 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-12 | 2023-05-11 | 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 | 2023-04-12 | 2023-05-11 | N |
| 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 | 2023-04-12 | 2023-05-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-12 | 2023-05-11 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-04-12 | 2023-05-11 | 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 | 2023-04-12 | 2023-05-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-12 | 2023-05-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-12 | 2023-05-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-12 | 2023-05-11 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-04-12 | 2023-05-11 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-04-12 | 2023-05-11 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-04-12 | 2023-05-11 | 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 | 2023-04-11 | 2023-05-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-11 | 2023-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-11 | 2023-05-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-11 | 2023-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-11 | 2023-05-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-11 | 2023-05-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-11 | 2023-01-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-28 | 2022-10-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-22 | 2022-07-20 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-02 | 2022-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-02 | 2022-03-10 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-02-04 | 2022-03-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-02-04 | 2022-03-10 | 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 | 2022-02-04 | 2022-03-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-04 | 2022-03-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-02-04 | 2022-03-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-02-04 | 2022-03-10 | N |
| Keep all essential equipment working safely. | Health | 2024-08-21 | Not Fixed | Y |
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