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Deficiency Records for Westwood Post Acute
A list of the most recent deficiencies for Westwood Post Acute. 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 Westwood Post Acute. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-11 | 2024-07-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-13 | 2024-05-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-29 | 2024-05-17 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-02-27 | 2024-03-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-31 | 2024-02-26 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-11-29 | 2024-01-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-29 | 2024-01-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-29 | 2024-01-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-29 | 2024-01-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-11-29 | 2024-01-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-29 | 2024-01-22 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-11-29 | 2024-01-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-21 | 2023-12-14 | 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 | 2023-11-21 | 2023-12-14 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-11-21 | 2023-12-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-21 | 2023-12-14 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-11-21 | 2023-12-14 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-21 | 2023-12-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-21 | 2023-12-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-11-21 | 2023-12-14 | 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 | 2023-11-21 | 2023-12-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-21 | 2023-12-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-21 | 2023-12-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-21 | 2023-12-14 | N |
| 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. | Health | 2023-11-21 | 2023-12-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-21 | 2023-12-14 | 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 | 2023-11-21 | 2023-12-14 | 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 | 2023-11-21 | 2023-12-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-21 | 2023-12-14 | 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 | 2023-11-21 | 2023-12-14 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-11-21 | 2023-12-14 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-11-21 | 2023-12-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-21 | 2023-12-14 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-11-21 | 2023-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-21 | 2023-12-14 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-11-21 | 2023-12-14 | N |
| Keep all essential equipment working safely. | Health | 2023-11-21 | 2023-12-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-11-21 | 2023-12-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-21 | 2023-12-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-21 | 2023-12-14 | Y |
| 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 | 2023-11-21 | 2023-12-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-21 | 2023-12-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-06 | 2023-12-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-27 | 2023-11-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-16 | 2023-11-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-29 | 2023-10-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-06 | 2023-10-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-12 | 2023-08-11 | 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 | 2023-07-19 | 2023-07-31 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-29 | 2023-07-29 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-28 | 2023-07-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-24 | 2023-04-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-24 | 2023-04-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-24 | 2023-04-22 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-11-16 | 2022-12-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-26 | 2021-06-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-26 | 2021-06-12 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-04-26 | 2021-06-12 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-26 | 2021-06-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-26 | 2021-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-26 | 2021-06-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-26 | 2021-06-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-26 | 2021-06-12 | 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 | 2021-04-26 | 2021-06-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-26 | 2021-06-12 | 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 | 2021-04-26 | 2021-06-12 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-04-26 | 2021-06-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-26 | 2021-06-12 | N |
| Dispose of garbage and refuse properly. | Health | 2021-04-26 | 2021-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-26 | 2021-06-12 | N |
| Keep all essential equipment working safely. | Health | 2021-04-26 | 2021-06-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-13 | 2021-06-10 | N |
| Use approved construction type or materials. | Fire Safety | 2021-05-13 | 2021-06-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-13 | 2021-06-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-13 | 2021-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-13 | 2021-06-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-13 | 2021-06-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-13 | 2021-06-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-13 | 2021-06-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-13 | 2021-06-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-13 | 2021-06-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-22 | 2019-11-18 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-10-22 | 2019-11-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-10-22 | 2019-11-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-22 | 2019-11-18 | 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 | 2019-10-22 | 2019-11-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-22 | 2019-11-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-22 | 2019-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-22 | 2019-11-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-22 | 2019-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-22 | 2019-11-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-22 | 2019-11-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-22 | 2019-11-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-22 | 2019-11-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-22 | 2019-11-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-22 | 2019-11-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-13 | 2019-10-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-13 | 2019-10-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-09-13 | 2019-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-13 | 2019-10-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-13 | 2019-10-10 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-09-13 | 2019-10-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-09-13 | 2019-10-10 | 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 | 2019-09-13 | 2019-10-10 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2019-09-13 | 2019-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-13 | 2019-10-10 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-09-13 | 2019-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-13 | 2019-10-10 | N |
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