Michael J Fitzmaurice South Dakota Veterans Home
CMS
Actual Harm
Documentation Failure
Infection Control
Nutrition Care
Resident Neglect
Wound Care
Penalty
$39,293
Outcome
Michael J Fitzmaurice South Dakota Veterans Home in HOT SPRINGS, SD was fined $39,293 by CMS following 15 deficiency citations identified during federal surveys.
Details
Michael J Fitzmaurice South Dakota Veterans Home (HOT SPRINGS, SD) — $39,293 in CMS Fines
Outcome: Michael J Fitzmaurice South Dakota Veterans Home in HOT SPRINGS, SD was fined $39,293 by CMS following 15 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Provide and implement an infection prevention and control program.
- Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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