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Deficiency Records for Westminster Village North
A list of the most recent deficiencies for Westminster Village North. 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 Village North. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-14 | 2024-10-01 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-08-14 | 2024-10-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-14 | 2024-10-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-14 | 2024-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-14 | 2024-10-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-14 | 2024-10-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-14 | 2024-10-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-08-14 | 2024-10-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-14 | 2024-10-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-14 | 2024-10-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-14 | 2024-10-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-18 | 2024-09-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-18 | 2024-09-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-07-18 | 2024-09-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-18 | 2024-09-08 | N |
| 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 | 2024-07-18 | 2024-09-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-18 | 2024-09-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-18 | 2024-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-18 | 2024-09-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-18 | 2024-09-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-18 | 2024-09-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-18 | 2024-09-08 | 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 | 2024-07-18 | 2024-09-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-07-18 | 2024-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-18 | 2024-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-18 | 2024-09-08 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-07-18 | 2024-09-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-23 | 2024-03-14 | 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 | 2024-02-23 | 2024-03-14 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-11 | 2023-04-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-11 | 2023-04-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-11 | 2023-04-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-24 | 2023-04-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-24 | 2023-04-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-24 | 2023-04-07 | 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 | 2023-03-24 | 2023-04-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-24 | 2023-04-07 | N |
| 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 | 2023-03-24 | 2023-04-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-24 | 2023-04-07 | 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 | 2023-03-24 | 2023-04-07 | N |
| Provide or obtain dental services for each resident. | Health | 2023-03-24 | 2023-04-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-31 | 2023-02-13 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-01-31 | 2023-02-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-31 | 2023-02-13 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-31 | 2023-02-13 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-03 | 2022-06-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-13 | 2021-10-29 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-13 | 2021-10-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-13 | 2021-10-29 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-08-17 | 2020-09-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-08-17 | 2020-09-16 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-08-17 | 2020-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-08-17 | 2020-09-16 | N |
| 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 | 2020-03-04 | 2020-03-04 | N |
| Respond appropriately to all alleged violations. | Health | 2020-03-04 | 2020-03-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-04 | 2020-03-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-04 | 2020-03-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-04 | 2020-03-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-03-04 | 2020-03-04 | N |
| 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 | 2020-03-04 | 2020-03-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-03-04 | 2020-03-04 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-03-04 | 2020-03-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-03-04 | 2020-03-04 | 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 | 2020-03-04 | 2020-03-04 | N |
| Provide or obtain dental services for each resident. | Health | 2020-03-04 | 2020-03-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-04 | 2020-03-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-04 | 2020-03-04 | N |
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