Inspection Results » Wisconsin Veterans Home-Boland Hall

Health Inspection on February 21, 2019 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-04-01)

2. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-04-01)

3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • 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. (Corrected 2019-04-01)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-04-01)
   • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Corrected 2019-04-01)
   • Provide and implement an infection prevention and control program. (Corrected 2019-04-01)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-04-01)

4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-04-01)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-04-01)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-04-01)
   • 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 ne (Corrected 2019-04-01)
   • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Corrected 2019-04-01)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-04-01)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2019-04-01)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-04-01)
   • 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. (Corrected 2019-04-01)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2019-04-01)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-04-01)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-04-01)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-04-01)