Deficiency Index

Every finding on record at Prairie Home Hospice

Marshall, Minnesota · CCN 241507

2 findings across 1 survey, in the inspector's own words.

The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.

Survey of September 21, 2023

2 findings
K0353

Based on a review of available documentation and staff interview, the facility failed to test the fire sprinkler system on a quarterly basis per NFPA 101 (2012 edition), Life Safety Code (2012 edition), sections 9.7.5, 9.7.7, 9.7.8, and NFPA 25 (2010 edition), the title of the standard, and specific section numbers. This deficient finding could have a patterned impact on the residents within the facility. --- Findings include: On 09/21/2023 at 11:15 AM, it was revealed by a review of available documentation that quarterly fire sprinkler inspections did not occur at the Lockwood Home and McLaughlin Home. An interview with the Program Manager verified this deficient finding at the time of discovery.

K0712

Based on a review of available documentation and staff interview, the facility failed to conduct quarterly fire drills per NFPA 101 (2012 edition), Life Safety Code, sections 19.7.1.4 through 19.7.1.7 This deficient finding could have a patterned impact on the residents within the facility. Findings include: On 09/21/2023 at 11:00 AM, it was revealed by a review of available documentation that there was no documentation available to review to show McLaughlin House fire drills were conducted on the 3rd shift in the 1st quarter and on the 1st shift, 2nd shift and 3rd shift during the 1st, 2nd and 3rd quarters. No documentation available to review to show Lockwood House fire drills were conducted on the 2nd shift in the 4th quarter. An interview with Program Manager verified these deficient findings at the time of discovery. --- Findings include: On 09/21/2023 at 11:00 AM, it was revealed by a review of available documentation that there was no documentation available to review to show McLaughlin House fire drills were conducted on the 3rd shift in the 1st quarter and on the 1st shift, 2nd shift and 3rd shift during the 1st, 2nd and 3rd quarters. No documentation available to review to show Lockwood House fire drills were conducted on the 2nd shift in the 4th quarter. An interview with Program Manager verified these deficient findings at the time of discovery.

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