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Deficiency Records for Wagner Heights Nursing and Rehabilitation Center
A list of the most recent deficiencies for Wagner Heights Nursing 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 Wagner Heights Nursing 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? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-24 | 2024-08-20 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-07-24 | 2024-08-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-22 | 2023-12-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-13 | 2023-11-13 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-10-13 | 2023-11-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-13 | 2023-11-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-13 | 2023-11-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-13 | 2023-11-13 | 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 | 2023-10-13 | 2023-11-13 | 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 | 2023-10-13 | 2023-11-13 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-10-13 | 2023-11-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-13 | 2023-11-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-13 | 2023-11-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-13 | 2023-11-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-13 | 2023-11-13 | N |
| Use approved construction type or materials. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-18 | 2023-11-13 | 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 | 2023-10-18 | 2023-11-13 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-10-18 | 2023-11-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-24 | 2023-10-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-22 | 2023-10-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-01 | 2023-07-17 | 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 | 2023-05-31 | 2023-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-13 | 2023-07-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-13 | 2023-07-09 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-04-27 | 2023-05-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-27 | 2023-05-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-22 | 2023-04-25 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-03-03 | 2023-03-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-15 | 2023-02-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-09 | 2023-01-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-22 | 2022-12-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-10 | 2022-11-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-03 | 2022-11-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-03 | 2022-11-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-02 | 2022-11-13 | Y |
| Dispose of garbage and refuse properly. | Health | 2022-11-02 | 2022-11-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-02 | 2022-11-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-20 | 2022-10-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-21 | 2022-10-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-21 | 2022-10-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-12 | 2022-09-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-04 | 2022-08-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-19 | 2022-08-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-24 | 2022-06-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-12 | 2022-05-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-10 | 2022-01-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-10 | 2022-01-18 | N |
| Provide activities to meet all resident's needs. | Health | 2021-12-10 | 2022-01-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-10 | 2022-01-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-10 | 2022-01-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-10 | 2022-01-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-10 | 2022-01-18 | 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 | 2021-12-10 | 2022-01-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-10 | 2022-01-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-10 | 2022-01-18 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-12-10 | 2022-01-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-10 | 2022-01-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-10 | 2022-01-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-10 | 2022-01-18 | Y |
| 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 | 2021-12-10 | 2022-01-18 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-12-21 | 2022-01-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-21 | 2022-01-11 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-12-21 | 2022-01-11 | 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 | 2021-12-21 | 2022-01-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-21 | 2022-01-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-21 | 2022-01-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-21 | 2022-01-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-22 | 2022-01-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-22 | 2022-01-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-22 | 2022-01-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-14 | 2021-12-28 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-12-14 | 2021-12-28 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-08-23 | 2019-10-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-23 | 2019-10-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-23 | 2019-10-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-23 | 2019-10-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-23 | 2019-10-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-23 | 2019-10-31 | 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 | 2019-08-23 | 2019-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-23 | 2019-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-23 | 2019-10-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-26 | 2019-10-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-09-26 | 2019-10-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-26 | 2019-10-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-26 | 2019-10-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-26 | 2019-10-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-26 | 2019-10-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-26 | 2019-10-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-26 | 2019-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-26 | 2019-10-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-26 | 2019-10-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-23 | 2019-10-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-23 | 2019-10-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-08-23 | 2019-09-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-08-23 | 2019-09-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-23 | 2019-09-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-23 | 2019-09-26 | 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 | 2019-08-23 | 2019-09-26 | 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 | 2019-08-23 | 2019-09-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-23 | 2019-09-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-23 | 2019-09-26 | N |
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