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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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