St William's Care Center
St William's Care Center in MILBANK, SD — inspection on July 24, 2024.
Found 7 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
occurrences to determine what changes are needed, if any, to policies and procedures to prevent
employment, will be taken to prevent further occurrences.
435122 07/24/2024
St William's Care Center 103 N Viola St Milbank, SD 57252
Based on the above information, non-compliance at F-F602 occurred on 7/13/24, and based on the provider's implemented corrective actions for the deficient practice confirmed on 7/22/24, the non-compliance is considered past non-compliance.
435122 07/24/2024
St William's Care Center 103 N Viola St Milbank, SD 57252
Property policy revealed: *Policy: Residents at [facility] will be treated with dignity and respect. No resident of this facility will be mistreated, abused or neglected. *The following could happen if abuse is not reported: The situation could get worse, the resident could get seriously injured, the resident could become ill, the resident could die, the person could abuse other residents . *Process: - .Reporting/Response: The facility must report all alleged violations involving mistreatment, neglect, or abuse, including injuries on unknown source and misappropriation of resident property immediately to the administrator or their representative. -The SD Department of Health must be notified immediately but not later than 2 hours if serious bodily injury occurred, within 24 hours of incident if no serious bodily injury. -Notify law enforcement only for an incident or event where there is reasonable cause to suspect abuse or neglect of any resident by any person. -The results of the investigation must be reported to the SD Department of Health, [the local police department] (if required to notify), and the SD Department of Human Services (if required to notify) within 5 working days of the incident, and if the alleged violation is verified appropriate corrective action must be taken.
435122 07/24/2024
St William's Care Center 103 N Viola St Milbank, SD 57252
prevent further abuse while the investigation is in progress.
The facility must analyze the
employment, will be taken to prevent further occurrences.
435122 07/24/2024
St William's Care Center 103 N Viola St Milbank, SD 57252
compartment of the medication cart. *All controlled substances, including ER narcotic kit and medications in the refrigerator, must be counted at each shift change.
Review of the provider's 7/19/24 updated Abuse, Neglect and Misappropriation of Resident Property policy revealed:
*Policy: Residents at [facility] will be treated with dignity and respect. No resident of this facility will be mistreated, abused or neglected.
*This abuse plan has been implemented to protect our residents.
The responsibility for carrying out this plan will ultimately lie with the Administrator and the staff employed by [facility] but involves every person in contact with residents.
*Process:
-Identification: Staff will identify events, such as suspicious bruising of residents, occurrences, patterns, and trends that may constitute abuse; staff will determine the direction of an investigation.
-Investigation: Alleged violations will be investigated and will be reported to proper authorities by the administrator, director of nursing or their representative
-Protection: Residents will be protected from harm during an investigation.
Staff may need to be reassigned to other areas or suspended until the investigation is completed.
-Reporting/Response: The facility must report all alleged violations involving mistreatment, neglect, or abuse, including injuries on unknown source and misappropriation of resident property immediately to the administrator or their representative.
-The SD Department of Health must be notified immediately but not later than 2 hours if serious bodily injury occurred, within 24 hours of incident if no serious bodily injury.
-Notify law enforcement only for an incident or event where there is reasonable cause to suspect abuse or neglect of any resident by any person.
435122
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 435122 B.
Wing 07/24/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
St William's Care Center 103 N Viola St Milbank, SD 57252
F-F602 occurred on 7/13/24, and based on the provider's implemented corrective actions for the deficient practice confirmed on 7/22/24, the non-compliance is considered past non-compliance.
435122
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 435122 B.
Wing 07/24/2024
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
St William's Care Center 103 N Viola St Milbank, SD 57252
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.