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Deficiency Records for West Haven Healthcare

A list of the most recent deficiencies for West Haven Healthcare. 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 Haven Healthcare. 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?
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-05-03 2024-05-27 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-12 2024-03-29 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-01-19 2024-02-19 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-01-19 2024-02-19 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-01-19 2024-02-19 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 2024-01-19 2024-02-19 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-01-19 2024-02-19 N
Ensure each resident receives an accurate assessment. Health 2024-01-19 2024-02-19 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-19 2024-02-19 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-01-19 2024-02-19 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 2024-01-19 2024-02-19 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-01-19 2024-02-19 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-19 2024-02-19 N
Post nurse staffing information every day. Health 2024-01-19 2024-02-19 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 2024-01-19 2024-02-19 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 2024-01-19 2024-02-19 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-01-19 2024-02-19 N
Provide a neutral and fair arbitration process and agree to arbitrator and venue. Health 2024-01-19 2024-02-19 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 2024-01-19 2024-02-19 N
Provide and implement an infection prevention and control program. Health 2024-01-19 2024-02-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-01-23 2024-02-16 N
Install an approved automatic sprinkler system. Fire Safety 2024-01-23 2024-01-23 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2024-01-23 2024-01-23 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2023-03-17 2023-04-13 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-02-04 2022-03-22 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-02-04 2022-03-22 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-02-04 2022-03-22 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-04 2022-03-22 N
Provide enough food/fluids to maintain a resident's health. Health 2022-02-04 2022-03-22 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-02-04 2022-03-22 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-02-04 2022-03-22 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 2022-02-04 2022-03-22 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-02-04 2022-03-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-04 2022-03-22 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-02-04 2022-03-22 N
Provide and implement an infection prevention and control program. Health 2022-02-04 2022-03-22 N
Provide emergency officials' contact information. Fire Safety 2022-02-08 2022-02-27 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-02-08 2022-02-27 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-02-08 2022-02-27 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-02-08 2022-02-27 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-08-15 2019-09-11 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-08-15 2019-09-11 N
Construct fire resistant interior walls. Fire Safety 2019-08-15 2019-09-11 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-08-15 2019-09-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-08-15 2019-09-11 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-08-15 2019-09-11 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-08-16 2019-09-09 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 2019-08-16 2019-09-09 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-08-16 2019-09-09 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2019-08-16 2019-09-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-08-16 2019-09-09 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 2019-08-16 2019-09-09 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2019-08-16 2019-09-09 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-08-16 2019-09-09 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-08-16 2019-09-09 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-08-16 2019-09-09 N
Provide enough food/fluids to maintain a resident's health. Health 2019-08-16 2019-09-09 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 2019-08-16 2019-09-09 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-08-16 2019-09-09 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 2019-08-16 2019-09-09 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 2019-08-16 2019-09-09 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 2019-08-16 2019-09-09 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2019-08-16 2019-09-09 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 2019-08-16 2019-09-09 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 2019-08-16 2019-09-09 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 2019-08-16 2019-09-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-08-16 2019-09-09 N

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