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Deficiency Records for West Haven Center For Nursing and Rehabilitation

A list of the most recent deficiencies for West Haven Center For Nursing and Rehabilitation. 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 Center For Nursing and Rehabilitation. 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?
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2023-11-06 2024-01-02 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 2023-11-06 2024-01-02 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-11-06 2024-01-02 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 2023-11-06 2024-01-02 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-11-06 2024-01-02 N
Respond appropriately to all alleged violations. Health 2023-11-06 2024-01-02 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-06 2024-01-02 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 2023-11-06 2024-01-02 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-06 2024-01-02 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2023-11-06 2024-01-02 N
Provide activities to meet all resident's needs. Health 2023-11-06 2024-01-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-06 2024-01-02 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 2023-11-06 2024-01-02 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-06 2024-01-02 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 2023-11-06 2024-01-02 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-11-06 2024-01-02 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-11-06 2024-01-02 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 2023-11-06 2024-01-02 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 2023-11-06 2024-01-02 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-11-06 2024-01-02 N
Observe each nurse aide's job performance and give regular training. Health 2023-11-06 2024-01-02 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-11-06 2024-01-02 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 2023-11-06 2024-01-02 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 2023-11-06 2024-01-02 N
Ensure that residents are free from significant medication errors. Health 2023-11-06 2024-01-02 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 2023-11-06 2024-01-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-06 2024-01-02 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-11-06 2024-01-02 N
Provide and implement an infection prevention and control program. Health 2023-11-06 2024-01-02 N
Implement a program that monitors antibiotic use. Health 2023-11-06 2024-01-02 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-11-06 2024-01-02 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-11-06 2024-01-02 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 2023-11-03 2023-12-01 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2023-11-03 2023-12-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-11-03 2023-12-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-20 2022-10-14 Y
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 2022-09-20 2022-10-14 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-09-20 2022-09-23 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2022-09-20 2022-09-20 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 2022-02-18 2022-03-18 Y
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 2022-02-18 2022-03-18 Y
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 2021-10-06 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-08-06 2021-08-26 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-08-06 2021-08-26 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-08-06 2021-08-26 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-08-06 2021-08-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-08-06 2021-08-26 N
Provide enough food/fluids to maintain a resident's health. Health 2021-08-06 2021-08-26 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 2021-08-06 2021-08-26 N
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2019-04-17 2019-05-10 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 2019-04-17 2019-05-10 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 2019-04-17 2019-05-10 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2019-04-17 2019-05-10 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-04-17 2019-05-10 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-04-17 2019-05-10 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2019-04-17 2019-05-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-04-17 2019-05-10 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 2019-04-17 2019-05-10 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-04-17 2019-05-10 N
Provide enough food/fluids to maintain a resident's health. Health 2019-04-17 2019-05-10 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-04-17 2019-05-10 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-04-17 2019-05-10 N
Provide and implement an infection prevention and control program. Health 2019-04-17 2019-05-10 N

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