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Deficiency Records for W Frank Wells Nursing Home

A list of the most recent deficiencies for W Frank Wells Nursing Home. 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 W Frank Wells Nursing Home. 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-06-13 2024-07-13 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-13 2024-07-13 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-06-13 2024-07-13 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-06-13 2024-07-13 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2023-01-26 2023-03-14 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2023-01-26 2023-03-14 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-01-26 2023-03-14 N
Provide and implement an infection prevention and control program. Health 2023-01-26 2023-03-14 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-01-25 2023-03-14 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-01-25 2023-03-14 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-06-24 2021-07-19 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-06-24 2021-07-19 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-06-24 2021-07-19 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-07-25 2019-09-12 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 2019-07-25 2019-09-12 N
Ensure medication error rates are not 5 percent or greater. Health 2019-07-25 2019-09-12 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 2019-07-25 2019-09-12 N
Provide and implement an infection prevention and control program. Health 2019-07-25 2019-09-12 N
Have proper medical gas storage and administration areas. Fire Safety 2019-07-24 2019-09-12 N

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