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Deficiency Records for Western Hills Health Care Center

A list of the most recent deficiencies for Western Hills Health 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 Western Hills Health 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?
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-03-20 2024-03-28 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-03-20 2024-03-28 N
Have restrictions on the use of flammable curtains. Fire Safety 2024-03-20 2024-03-25 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-02-27 2024-03-20 N
Respond appropriately to all alleged violations. Health 2024-02-27 2024-03-20 N
Ensure medication error rates are not 5 percent or greater. Health 2024-02-27 2024-03-20 N
Provide and implement an infection prevention and control program. Health 2024-02-27 2024-03-20 N
Implement a program that monitors antibiotic use. Health 2024-02-27 2024-03-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-03-20 2024-03-20 N
Provide and implement an infection prevention and control program. Health 2023-01-05 2023-02-07 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-11-10 2022-12-29 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-12-06 2022-12-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-12-06 2022-12-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-12-06 2022-12-12 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-07-12 2022-08-01 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-07-12 2022-08-01 Y
Provide properly protected cooking facilities. Fire Safety 2021-08-05 2021-10-13 N
Install an approved automatic sprinkler system. Fire Safety 2021-08-05 2021-10-13 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-08-05 2021-09-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-08-05 2021-09-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-08-05 2021-09-15 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2021-08-05 2021-09-09 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-08-05 2021-08-31 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-08-05 2021-08-16 N
Use approved construction type or materials. Fire Safety 2021-08-05 2021-08-13 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2021-07-13 2021-07-29 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-07-13 2021-07-29 N
Respond appropriately to all alleged violations. Health 2021-07-13 2021-07-29 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 2021-07-13 2021-07-29 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2021-07-13 2021-07-29 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-07-13 2021-07-29 N
Provide activities to meet all resident's needs. Health 2021-07-13 2021-07-29 N
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 2021-07-13 2021-07-29 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-07-13 2021-07-29 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-07-13 2021-07-29 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 2021-07-13 2021-07-29 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-07-13 2021-07-29 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 2021-07-13 2021-07-29 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2021-07-13 2021-07-29 N
Provide and implement an infection prevention and control program. Health 2021-07-13 2021-07-29 N

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