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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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