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Deficiency Records for Westminster Village Health and Rehab

A list of the most recent deficiencies for Westminster Village Health and Rehab. 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 Health and Rehab. 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 emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-04-25 2024-05-17 N
Provide properly protected cooking facilities. Fire Safety 2024-04-25 2024-05-17 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-04-25 2024-05-09 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-04-25 2024-05-09 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 2024-03-27 2024-04-23 N
Provide enough food/fluids to maintain a resident's health. Health 2024-03-27 2024-04-23 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-03-27 2024-04-23 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-03-27 2024-04-23 N
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 2024-03-27 2024-04-23 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 2024-03-27 2024-04-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-27 2024-04-23 N
Provide and implement an infection prevention and control program. Health 2024-03-27 2024-04-23 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-01-18 2023-02-27 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 2023-01-18 2023-02-27 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-01-18 2023-02-27 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2023-01-18 2023-02-27 N
Ensure each resident receives an accurate assessment. Health 2023-01-18 2023-02-27 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-01-18 2023-02-27 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-01-18 2023-02-27 N
Provide enough food/fluids to maintain a resident's health. Health 2023-01-18 2023-02-27 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-01-18 2023-02-27 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-01-18 2023-02-27 N
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 2023-01-18 2023-02-27 N
Conduct testing and exercise requirements. Fire Safety 2023-01-23 2023-02-10 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 2023-01-23 2023-02-10 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-01-23 2023-02-10 N
Have restrictions on the use of portable space heaters. Fire Safety 2023-01-23 2023-02-10 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-01-23 2023-02-10 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-10-22 2021-11-19 N
Provide and implement an infection prevention and control program. Health 2021-10-22 2021-11-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-08-18 2020-09-14 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2020-08-18 2020-08-19 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2020-02-17 2020-03-18 N
Ensure each resident receives an accurate assessment. Health 2020-02-17 2020-03-11 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2020-02-17 2020-03-06 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-02-17 2020-03-06 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 2020-02-17 2020-03-06 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 2020-02-17 2020-03-06 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2020-02-17 2020-03-06 N

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