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Deficiency Records for West Hollywood Healthcare and Wellness Centre, LP
A list of the most recent deficiencies for West Hollywood 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 Hollywood 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-04 | 2024-07-04 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-06-04 | 2024-07-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-04 | 2024-07-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-04 | 2024-07-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-04 | 2024-07-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-04 | 2024-07-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-04 | 2024-07-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-04 | 2024-07-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-04 | 2024-07-04 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2024-06-04 | 2024-07-04 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-05-28 | 2024-06-28 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-05-28 | 2024-06-28 | 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 | 2024-05-28 | 2024-06-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-28 | 2024-06-28 | 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 | 2024-05-28 | 2024-06-28 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-05-28 | 2024-06-28 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-05-28 | 2024-06-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-28 | 2024-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-28 | 2024-06-28 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-05-28 | 2024-06-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-28 | 2024-06-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-05-28 | 2024-06-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-28 | 2024-06-28 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-28 | 2024-06-28 | 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 | 2024-05-28 | 2024-06-28 | N |
| Post nurse staffing information every day. | Health | 2024-05-28 | 2024-06-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-28 | 2024-06-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-05-28 | 2024-06-28 | 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 | 2024-05-28 | 2024-06-28 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-05-28 | 2024-06-28 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-05-28 | 2024-06-28 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-05-28 | 2024-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-28 | 2024-06-28 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-05-28 | 2024-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-28 | 2024-06-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-05-28 | 2024-06-28 | N |
| 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. | Health | 2024-05-28 | 2024-06-28 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-05-28 | 2024-06-28 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-04-18 | 2023-05-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-04-11 | 2023-04-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-11 | 2023-04-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-22 | 2022-12-19 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-11-22 | 2022-12-19 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-11-23 | 2022-12-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-04 | 2022-09-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-08 | 2022-08-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-13 | 2022-06-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-13 | 2022-06-30 | 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 | 2022-05-13 | 2022-06-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-13 | 2022-06-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-13 | 2022-06-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-05-13 | 2022-06-30 | 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 | 2022-05-13 | 2022-06-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-13 | 2022-06-30 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-05-13 | 2022-06-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-13 | 2022-06-30 | 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 | 2022-05-13 | 2022-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-13 | 2022-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-13 | 2022-06-30 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-05-13 | 2022-06-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-12 | 2022-06-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-12 | 2022-06-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-12 | 2022-06-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-12 | 2022-06-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-08 | 2022-05-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-01 | 2022-05-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-01 | 2022-05-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-15 | 2022-05-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-05 | 2022-04-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-07 | 2022-03-21 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-07 | 2022-03-21 | 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 | 2022-03-03 | 2022-03-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-27 | 2022-02-08 | 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 | 2022-01-25 | 2022-02-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-30 | 2022-02-08 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-12-30 | 2022-02-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-07 | 2022-01-20 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-01-06 | 2022-01-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-31 | 2022-01-11 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-31 | 2022-01-11 | 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 | 2021-11-29 | 2021-12-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-29 | 2021-12-14 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-01-08 | 2020-02-18 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-01-08 | 2020-02-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-01-08 | 2020-02-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-08 | 2020-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-08 | 2020-02-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-08 | 2020-02-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-08 | 2020-02-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-08 | 2020-02-18 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2020-01-08 | 2020-02-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-08 | 2020-02-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-08 | 2020-02-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-05 | 2020-02-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-05 | 2020-02-06 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-01-05 | 2020-02-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-05 | 2020-02-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-05 | 2020-02-06 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-01-05 | 2020-02-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-05 | 2020-02-06 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-01-05 | 2020-02-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-05 | 2020-02-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-05 | 2020-02-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-05 | 2020-02-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-05 | 2020-02-06 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-01-05 | 2020-02-06 | 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 | 2020-01-05 | 2020-02-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-05 | 2020-02-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-05 | 2020-02-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-01-05 | 2020-02-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-01-05 | 2020-02-06 | N |
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