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Deficiency Records for Westminster Oaks

A list of the most recent deficiencies for Westminster Oaks. 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 Westminster Oaks. 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 an approved automatic sprinkler system. Fire Safety 2024-05-29 2024-06-25 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2024-05-22 2024-06-23 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2024-05-22 2024-06-23 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-07-26 2023-09-18 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-07-26 2023-09-18 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-07-26 2023-09-18 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-07-26 2023-09-18 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-07-07 2022-08-05 Y
Ensure staff are vaccinated for COVID-19 Health 2022-06-13 2022-06-25 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-01-13 2022-02-13 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 2022-01-13 2022-02-13 N

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