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Deficiency Records for Wellsprings Care Center
A list of the most recent deficiencies for Wellsprings Care Center. 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 Wellsprings Care Center. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-29 | 2024-05-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-29 | 2024-04-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-29 | 2024-04-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-14 | 2024-03-22 | 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 | 2024-02-14 | 2024-03-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-14 | 2024-03-22 | 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 | 2024-02-14 | 2024-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-14 | 2024-03-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-14 | 2024-03-22 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-02-14 | 2024-03-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-14 | 2024-03-22 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-14 | 2024-03-22 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-05 | 2023-01-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-05 | 2023-01-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-12-05 | 2023-01-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-05 | 2022-12-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-03 | 2022-12-12 | N |
| Respond appropriately to all alleged violations. | Health | 2022-11-03 | 2022-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-03 | 2022-12-12 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-08-18 | 2021-11-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-18 | 2021-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-18 | 2021-09-27 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-08-18 | 2021-09-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-08-18 | 2021-09-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-03 | 2021-09-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-18 | 2021-09-10 | 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 | 2021-08-03 | 2021-09-09 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-08-03 | 2021-09-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-03 | 2021-09-09 | N |
| Respond appropriately to all alleged violations. | Health | 2021-08-03 | 2021-09-09 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-08-03 | 2021-09-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-03 | 2021-09-09 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-08-03 | 2021-09-09 | 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 | 2021-08-18 | 2021-09-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-18 | 2021-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-03 | 2021-09-01 | N |
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