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Deficiency Records for Westminster Village Kentuckiana

A list of the most recent deficiencies for Westminster Village Kentuckiana. 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 Kentuckiana. 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-02-14 2024-03-07 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-14 2024-03-07 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-10-30 2023-11-17 N
Ensure each resident receives an accurate assessment. Health 2023-10-30 2023-11-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-10-30 2023-11-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-30 2023-11-17 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-10-30 2023-11-17 N
Keep all essential equipment working safely. Health 2023-10-30 2023-11-17 N
Address subsistence needs for staff and patients. Fire Safety 2022-11-07 2022-12-08 N
Establish policies and procedures for medical documentation. Fire Safety 2022-11-07 2022-12-08 N
Establish policies and procedures for volunteers. Fire Safety 2022-11-07 2022-12-08 N
Establish roles under a Waiver declared by secretary. Fire Safety 2022-11-07 2022-12-08 N
Develop a communication plan. Fire Safety 2022-11-07 2022-12-08 N
Establish emergency prep training and testing. Fire Safety 2022-11-07 2022-12-08 N
Establish staff and initial training requirements. Fire Safety 2022-11-07 2022-12-08 N
Conduct testing and exercise requirements. Fire Safety 2022-11-07 2022-12-08 N
Implement emergency and standby power systems. Fire Safety 2022-11-07 2022-12-08 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-11-07 2022-12-08 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 2022-11-07 2022-12-08 N
Provide properly protected cooking facilities. Fire Safety 2022-11-07 2022-12-08 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-11-07 2022-12-08 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2022-11-07 2022-12-08 N
Install an approved automatic sprinkler system. Fire Safety 2022-11-07 2022-12-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-07 2022-12-08 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-11-07 2022-12-08 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-11-07 2022-12-08 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-11-07 2022-12-08 N
Provide a written emergency evacuation plan. Fire Safety 2022-11-07 2022-12-08 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-11-07 2022-12-08 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-11-07 2022-12-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-11-07 2022-12-08 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-11-07 2022-12-08 N
Have proper medical gas storage and administration areas. Fire Safety 2022-11-07 2022-12-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-10-25 2022-11-14 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 2022-10-25 2022-11-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-25 2022-11-14 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2022-10-25 2022-11-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-10-25 2022-11-14 N
Provide and implement an infection prevention and control program. Health 2022-10-25 2022-11-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-09-30 2022-10-01 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-10-22 2021-11-09 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-10-22 2021-11-09 Y
Conduct risk assessment and an All-Hazards approach. Fire Safety 2021-09-13 2021-10-31 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2021-09-13 2021-10-31 N
Address subsistence needs for staff and patients. Fire Safety 2021-09-13 2021-10-31 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2021-09-13 2021-10-31 N
Establish policies and procedures for volunteers. Fire Safety 2021-09-13 2021-10-31 N
Establish roles under a Waiver declared by secretary. Fire Safety 2021-09-13 2021-10-31 N
Develop a communication plan. Fire Safety 2021-09-13 2021-10-31 N
Establish emergency prep training and testing. Fire Safety 2021-09-13 2021-10-31 N
Establish staff and initial training requirements. Fire Safety 2021-09-13 2021-10-31 N
Conduct testing and exercise requirements. Fire Safety 2021-09-13 2021-10-31 N
Implement emergency and standby power systems. Fire Safety 2021-09-13 2021-10-31 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 2021-09-13 2021-10-31 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-09-13 2021-10-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-09-13 2021-10-31 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-09-13 2021-10-31 N
Provide a written emergency evacuation plan. Fire Safety 2021-09-13 2021-10-31 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-09-13 2021-10-31 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-09-13 2021-10-31 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-09-13 2021-10-31 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-08-17 2021-09-09 N
Provide enough food/fluids to maintain a resident's health. Health 2021-08-17 2021-09-09 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 2021-08-17 2021-09-09 N
Provide and implement an infection prevention and control program. Health 2021-08-17 2021-09-09 N

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