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Deficiency Records for Muskego Health and Rehabilitation Center
A list of the most recent deficiencies for Muskego Health and Rehabilitation Center. 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 Muskego Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-27 | 2023-10-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-27 | 2023-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-27 | 2023-10-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-28 | 2023-10-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-28 | 2023-10-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-28 | 2023-10-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-28 | 2023-10-24 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-09-28 | 2023-10-24 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-09-28 | 2023-10-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-28 | 2023-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-28 | 2023-10-24 | 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 | 2023-09-28 | 2023-10-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-28 | 2023-10-24 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-09-28 | 2023-10-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-28 | 2023-10-24 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-09-27 | 2023-10-17 | 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 | 2023-09-27 | 2023-10-17 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-09-27 | 2023-10-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-27 | 2023-10-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-09-27 | 2023-09-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-09-27 | 2023-09-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-06-29 | 2023-07-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-29 | 2023-07-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-29 | 2023-07-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-29 | 2023-07-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-21 | 2022-12-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-21 | 2022-12-21 | Y |
| 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 | 2022-11-21 | 2022-12-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-21 | 2022-12-21 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-07 | 2022-07-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-08 | 2022-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-08 | 2022-07-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-08 | 2022-07-01 | 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 | 2022-06-07 | 2022-07-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-07 | 2022-07-01 | 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 | 2022-06-07 | 2022-07-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-07 | 2022-07-01 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-06-07 | 2022-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-11 | 2021-12-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-03-10 | 2021-04-09 | 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 | 2021-03-10 | 2021-04-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-10 | 2021-04-09 | 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 | 2021-03-09 | 2021-04-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-03-09 | 2021-04-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-09 | 2021-04-09 | N |
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