Deficiency Records for Wind River Rehabilitation and Wellness
Updated as of August 01, 2024
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Deficiency Records for Wind River Rehabilitation and Wellness
A list of the most recent deficiencies for Wind River Rehabilitation and Wellness. 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 Wind River Rehabilitation and Wellness. 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 appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-14 | 2024-04-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-14 | 2024-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-14 | 2024-04-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-14 | 2024-04-19 | Y |
| 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 | 2024-03-14 | 2024-04-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-14 | 2024-04-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-14 | 2024-04-19 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-03-14 | 2024-04-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-14 | 2024-04-19 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-14 | 2024-04-19 | Y |
| Meet other general requirements. | Fire Safety | 2024-03-13 | 2024-04-19 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-03-13 | 2024-04-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-13 | 2024-04-19 | 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 | 2024-03-13 | 2024-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-13 | 2024-04-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-13 | 2024-04-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-13 | 2024-04-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-13 | 2024-04-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-26 | 2023-08-19 | Y |
| 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 | 2022-12-08 | 2023-01-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-08 | 2023-01-15 | 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 | 2022-12-08 | 2023-01-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-08 | 2023-01-15 | 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 | 2022-12-08 | 2023-01-15 | 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 | 2022-12-08 | 2023-01-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-08 | 2023-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-08 | 2023-01-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-08 | 2023-01-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2023-01-15 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-12-08 | 2023-01-15 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Meet other general requirements. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Meet other general requirements. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-08 | 2023-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-22 | 2022-08-12 | Y |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2021-12-09 | 2022-02-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-09 | 2022-01-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-12-09 | 2022-01-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-09 | 2022-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-09 | 2022-01-07 | 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 | 2021-12-09 | 2022-01-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-09 | 2022-01-07 | N |
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