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Deficiency Records for West Pico Terrace Healthcare and Wellness Centre LP

A list of the most recent deficiencies for West Pico Terrace Healthcare and Wellness Centre LP. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for West Pico Terrace Healthcare and Wellness Centre LP. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-01-23 2024-02-17 N
Construct fire resistant interior walls. Fire Safety 2024-01-23 2024-02-17 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-01-23 2024-02-17 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-01-23 2024-02-17 N
Have proper medical gas storage and administration areas. Fire Safety 2024-01-23 2024-02-17 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-01-19 2024-02-12 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2024-01-19 2024-02-12 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-01-19 2024-02-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-19 2024-02-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-19 2024-02-12 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-01-19 2024-02-12 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2024-01-19 2024-02-12 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-01-19 2024-02-12 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-01-19 2024-02-12 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2024-01-19 2024-02-12 N
Post nurse staffing information every day. Health 2024-01-19 2024-02-12 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-01-19 2024-02-12 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2024-01-19 2024-02-12 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-10-13 2023-10-31 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-08-11 2023-09-11 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-05-03 2023-06-03 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-03-10 2023-04-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-10 2023-04-21 Y
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 necessary and PRN use is limited. Health 2023-03-10 2023-04-21 Y
Ensure that residents are free from significant medication errors. Health 2023-03-10 2023-04-21 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-12-03 2022-12-19 Y
Keep all essential equipment working safely. Health 2022-10-24 2022-11-07 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-10-24 2022-11-07 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-10 2022-10-18 Y
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. Health 2022-08-23 2022-09-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-10 2022-09-10 Y
Keep residents' personal and medical records private and confidential. Health 2022-02-12 2022-02-25 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2021-11-26 2021-12-08 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-11-26 2021-12-08 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2021-11-26 2021-12-08 Y
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2021-05-13 2021-06-10 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-05-13 2021-06-09 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2021-05-13 2021-06-09 N
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. Health 2021-05-13 2021-06-09 N
Ensure each resident receives an accurate assessment. Health 2021-05-13 2021-06-09 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-05-13 2021-06-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-13 2021-06-09 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-05-13 2021-06-09 N
Provide enough food/fluids to maintain a resident's health. Health 2021-05-13 2021-06-09 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2021-05-13 2021-06-09 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2021-05-13 2021-06-09 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-05-13 2021-06-09 N
Ensure that residents are free from significant medication errors. Health 2021-05-13 2021-06-09 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2021-05-13 2021-06-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-13 2021-06-09 N
Provide and implement an infection prevention and control program. Health 2021-05-13 2021-06-09 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2021-05-13 2021-06-04 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2021-05-13 2021-06-04 N
Construct fire resistant interior walls. Fire Safety 2021-05-13 2021-06-04 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2021-05-13 2021-06-04 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-05-13 2021-06-04 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-05-13 2021-06-04 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-05-13 2021-06-04 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-10-04 2019-11-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-10-04 2019-11-04 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-10-04 2019-11-04 N
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 necessary and PRN use is limited. Health 2019-10-04 2019-11-04 N
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. Health 2019-10-04 2019-11-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-10-04 2019-11-04 N
Keep all essential equipment working safely. Health 2019-10-04 2019-11-04 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2019-10-04 2019-10-30 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2019-10-04 2019-10-30 N
Construct fire resistant interior walls. Fire Safety 2019-10-04 2019-10-30 N
Install an approved automatic sprinkler system. Fire Safety 2019-10-04 2019-10-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-10-04 2019-10-30 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-10-04 2019-10-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-10-04 2019-10-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-10-04 2019-10-30 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-10-04 Not Fixed N

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