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Deficiency Records for Wesley Village

A list of the most recent deficiencies for Wesley Village. 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 Wesley Village. 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 a two-hour-resistant firewall separation. Fire Safety 2024-03-18 2024-04-05 N
Have exits that are accessible at all times. Fire Safety 2024-03-18 2024-04-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-18 2024-04-05 N
Provide and implement an infection prevention and control program. Health 2024-03-20 2024-04-03 N
Install an approved automatic sprinkler system. Fire Safety 2024-03-18 2024-03-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-03-18 2024-03-19 N
Provide and implement an infection prevention and control program. Health 2023-09-15 2023-10-05 Y
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 2023-03-09 2023-03-20 N
Conduct testing and exercise requirements. Fire Safety 2023-03-07 2023-03-14 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-03-07 2023-03-14 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-03-07 2023-03-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-03-07 2023-03-14 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2022-09-01 2022-09-19 Y
Prepare residents for a safe transfer or discharge from the nursing home. Health 2022-09-01 2022-09-19 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-06-01 2022-06-17 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2022-06-01 2022-06-17 N
Install an approved automatic sprinkler system. Fire Safety 2022-06-01 2022-06-17 N
Provide properly protected cooking facilities. Fire Safety 2022-06-01 2022-06-16 N
Establish policies and procedures for sheltering. Fire Safety 2022-06-01 2022-06-14 N
Provide and implement an infection prevention and control program. Health 2022-04-26 2022-05-06 N

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