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Deficiency Records for Westpark A Waters Community
A list of the most recent deficiencies for Westpark A Waters Community. 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 Westpark A Waters Community. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-02 | 2024-07-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-05 | 2024-05-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-05 | 2024-05-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-05 | 2024-05-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-04-05 | 2024-05-15 | N |
| Provide or obtain dental services for each resident. | Health | 2024-04-05 | 2024-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-05 | 2024-05-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-04-05 | 2024-05-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-02 | 2024-05-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-05-02 | 2024-05-06 | N |
| Develop a communication plan. | Fire Safety | 2024-05-02 | 2024-05-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-05-02 | 2024-05-06 | N |
| Meet other general requirements. | Fire Safety | 2023-04-03 | 2023-04-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-03 | 2023-04-19 | 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 | 2023-04-03 | 2023-04-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-03 | 2023-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-03 | 2023-04-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-03 | 2023-04-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-03 | 2023-04-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-04-03 | 2023-04-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-03 | 2023-04-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-03 | 2023-04-19 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-02-27 | 2023-03-20 | 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 | 2023-02-27 | 2023-03-20 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-02-27 | 2023-03-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-27 | 2023-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-27 | 2023-03-20 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-10-20 | 2022-11-25 | N |
| Meet other general requirements. | Fire Safety | 2022-10-20 | 2022-11-25 | 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 | 2022-10-20 | 2022-11-25 | 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 | 2022-10-20 | 2022-11-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-20 | 2022-11-25 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-10-20 | 2022-11-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-20 | 2022-11-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-20 | 2022-11-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-20 | 2022-11-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-20 | 2022-11-25 | N |
| Provide activities to meet all resident's needs. | Health | 2022-09-14 | 2022-10-02 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-09-14 | 2022-10-02 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-09-14 | 2022-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-14 | 2022-10-02 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2022-07-13 | 2022-07-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-13 | 2022-07-13 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-01 | 2022-04-24 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-04-01 | 2022-04-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-01 | 2022-04-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-01 | 2022-04-24 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-01 | 2022-04-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-01 | 2022-04-24 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-01-27 | 2022-02-17 | Y |
| 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 | 2022-01-27 | 2022-02-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-27 | 2022-02-17 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-01-27 | 2022-02-17 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-01-27 | 2022-02-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-27 | 2022-02-17 | Y |
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