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Deficiency Records for West Melbourne Health and Rehabilitation Center

A list of the most recent deficiencies for West Melbourne Health and Rehabilitation 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 West Melbourne Health and Rehabilitation 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?
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-02-06 2024-03-06 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-02-06 2024-03-06 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-12-14 2024-01-15 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-12-14 2024-01-15 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 2023-12-14 2024-01-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-12-14 2024-01-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-14 2024-01-15 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-12-14 2024-01-15 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-12-14 2024-01-15 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 2023-12-14 2024-01-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-14 2024-01-15 N
Provide and implement an infection prevention and control program. Health 2023-12-14 2024-01-15 N
Install an approved automatic sprinkler system. Fire Safety 2023-12-12 2024-01-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-12-12 2024-01-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-12-12 2024-01-15 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-06-15 2023-07-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-12 2023-05-15 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-01-19 2023-02-20 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-01-19 2023-02-20 Y
Assure that each resident?s assessment is updated at least once every 3 months. Health 2023-01-19 2023-02-20 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-01-19 2023-02-20 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-03-16 2022-04-15 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 2022-03-16 2022-04-15 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-03-16 2022-04-15 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-03-16 2022-04-15 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2022-03-16 2022-04-15 N
Provide activities to meet all resident's needs. Health 2022-03-16 2022-04-15 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-03-16 2022-04-15 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-03-16 2022-04-15 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 2022-03-16 2022-04-15 N
Dispose of garbage and refuse properly. Health 2022-03-16 2022-04-15 N
Keep all essential equipment working safely. Health 2022-03-16 2022-04-15 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-03-16 2022-04-15 Y
Conduct testing and exercise requirements. Fire Safety 2022-03-15 2022-04-15 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2022-03-15 2022-04-15 N
Provide properly protected cooking facilities. Fire Safety 2022-03-15 2022-04-15 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-03-15 2022-04-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-03-15 2022-04-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-03-15 2022-04-15 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 2020-09-19 2020-10-19 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 2020-09-19 2020-10-19 N
Ensure each resident receives an accurate assessment. Health 2020-09-19 2020-10-19 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2020-09-19 2020-10-19 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-09-17 2020-10-17 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2020-09-17 2020-10-17 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2020-09-17 2020-10-17 N

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