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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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