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Deficiency Records for Bria of Westmont
A list of the most recent deficiencies for Bria of Westmont. 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 Bria of Westmont. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-03 | 2024-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-03 | 2024-10-09 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-10-03 | 2024-10-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-03 | 2024-10-04 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-10-03 | 2024-10-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-03 | 2024-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-03 | 2024-10-04 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2024-10-03 | 2024-10-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-03 | 2024-10-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-10-03 | 2024-10-04 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-10-03 | 2024-10-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-03 | 2024-10-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-03 | 2024-10-04 | 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 | 2024-09-26 | 2024-09-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-09-26 | 2024-09-30 | 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 | 2024-09-26 | 2024-09-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-26 | 2024-09-30 | 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 | 2024-09-26 | 2024-09-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-09-26 | 2024-09-30 | 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 | 2024-09-26 | 2024-09-30 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-09-26 | 2024-09-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-26 | 2024-09-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-09-26 | 2024-09-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-12 | 2024-08-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-02 | 2024-07-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-20 | 2024-06-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-22 | 2024-05-23 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-22 | 2024-05-23 | Y |
| 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 | 2024-04-26 | 2024-04-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-26 | 2024-04-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-19 | 2024-04-20 | Y |
| 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 | 2024-01-17 | 2024-01-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-17 | 2024-01-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-17 | 2024-01-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-01 | 2024-01-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-27 | 2024-01-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-19 | 2023-12-20 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-12-19 | 2023-12-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-30 | 2023-12-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-01 | 2023-12-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-27 | 2023-12-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-08 | 2023-12-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-30 | 2023-12-13 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-02 | 2023-11-20 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-11-02 | 2023-11-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-11-02 | 2023-11-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-02 | 2023-11-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-14 | 2023-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-27 | 2023-11-15 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-02 | 2023-11-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-11-02 | 2023-11-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-02 | 2023-11-08 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2023-11-02 | 2023-11-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-02 | 2023-11-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-02 | 2023-11-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-02 | 2023-11-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-02 | 2023-11-06 | 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 | 2023-11-02 | 2023-11-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-27 | 2023-10-31 | 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 | 2023-10-27 | 2023-10-31 | 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 | 2023-10-27 | 2023-10-31 | Y |
| 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 | 2023-10-27 | 2023-10-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-27 | 2023-10-31 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-11 | 2023-10-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-25 | 2023-10-06 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-25 | 2023-10-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-27 | 2023-07-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-12 | 2023-06-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-12 | 2023-06-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-05 | 2023-06-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-16 | 2023-05-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-20 | 2023-04-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-20 | 2023-04-25 | Y |
| 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 | 2022-12-27 | 2022-12-31 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-12-27 | 2022-12-31 | 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 | 2022-12-27 | 2022-12-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-27 | 2022-12-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-27 | 2022-12-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-16 | 2022-12-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-16 | 2022-12-28 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-16 | 2022-12-28 | N |
| 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 | 2022-12-16 | 2022-12-28 | 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 | 2022-12-16 | 2022-12-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-16 | 2022-12-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-19 | 2022-11-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-27 | 2022-11-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-27 | 2022-11-01 | 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 | 2022-09-19 | 2022-09-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-06 | 2022-09-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-19 | 2022-08-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-19 | 2022-08-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-04 | 2022-08-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-04 | 2022-08-15 | 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 | 2022-08-04 | 2022-08-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-04 | 2022-08-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-27 | 2022-07-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-27 | 2022-07-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-08 | 2022-06-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-18 | 2021-12-08 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-18 | 2021-12-08 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-11-18 | 2021-12-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-03 | 2021-11-12 | Y |
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