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Deficiency Records for Westwood Vlge Nrsg and Rhb Ctr
A list of the most recent deficiencies for Westwood Vlge Nrsg and Rhb Ctr. 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 Westwood Vlge Nrsg and Rhb Ctr. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-14 | 2024-05-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-31 | 2024-02-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-31 | 2024-02-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-31 | 2024-02-23 | 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 | 2024-01-31 | 2024-02-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-31 | 2024-02-23 | 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 | 2024-01-31 | 2024-02-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-31 | 2024-02-23 | 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 | 2024-01-31 | 2024-02-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-31 | 2024-02-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-31 | 2024-02-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-31 | 2024-02-23 | 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 | 2024-01-31 | 2024-02-23 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-01-31 | 2024-02-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-31 | 2024-02-23 | N |
| Dispose of garbage and refuse properly. | Health | 2024-01-31 | 2024-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-31 | 2024-02-23 | 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 | 2024-01-31 | 2024-02-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-31 | 2024-02-23 | 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 | 2024-01-31 | 2024-02-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-31 | 2024-02-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-31 | 2024-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-08 | 2023-10-26 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-10-08 | 2023-10-24 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2023-03-28 | 2023-04-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-30 | 2023-04-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-30 | 2023-04-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-30 | 2023-04-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-30 | 2023-04-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-30 | 2023-04-13 | 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 | 2023-03-30 | 2023-04-13 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-30 | 2023-04-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-30 | 2023-04-13 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-28 | 2023-04-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-28 | 2023-04-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-28 | 2023-04-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-28 | 2023-04-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-28 | 2023-04-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-28 | 2023-04-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-03 | 2022-11-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-27 | 2022-07-01 | 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 | 2022-06-02 | 2022-06-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-27 | 2022-06-17 | 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 | 2022-05-27 | 2022-06-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-02 | 2022-06-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-27 | 2022-06-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-27 | 2022-06-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-27 | 2022-06-16 | 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 | 2022-05-27 | 2022-06-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-27 | 2022-06-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-02 | 2022-06-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-06-02 | 2022-06-15 | 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 | 2022-06-02 | 2022-06-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-02 | 2022-06-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-02 | 2022-06-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-02 | 2022-06-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-02 | 2022-06-10 | N |
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