Medicine Wheel Village in EAGLE BUTTE, SD was fined $34,825 by CMS following 25 deficiency citations identified during federal surveys.

Medicine Wheel Village (EAGLE BUTTE, SD) — $34,825 in CMS Fines

Outcome: Medicine Wheel Village in EAGLE BUTTE, SD was fined $34,825 by CMS following 25 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.


• Honor the resident's right to organize and participate in resident/family groups in the facility.


• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.


• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.


• Ensure services provided by the nursing facility meet professional standards of quality.


• Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.


• Post nurse staffing information every day.


• 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.