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Deficiency Records for Wellbrooke of Westfield
A list of the most recent deficiencies for Wellbrooke of Westfield. 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 Wellbrooke of Westfield. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2024-04-23 | 2024-05-09 | 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 | 2024-04-23 | 2024-05-09 | 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 | 2024-04-23 | 2024-05-09 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-04-23 | 2024-05-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-23 | 2024-05-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-23 | 2024-05-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-23 | 2024-05-09 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-04-23 | 2024-05-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-23 | 2024-05-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-04-04 | 2024-05-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-04 | 2024-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-04 | 2024-05-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-04 | 2024-05-01 | N |
| Post nurse staffing information every day. | Health | 2024-04-04 | 2024-05-01 | 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 | 2024-04-04 | 2024-05-01 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2024-04-04 | 2024-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-04 | 2024-05-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-04 | 2024-05-01 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-11-09 | 2023-11-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-09 | 2023-11-02 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-01-30 | 2023-02-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-30 | 2023-02-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-30 | 2023-02-23 | 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 | 2023-01-30 | 2023-02-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-30 | 2023-02-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-30 | 2023-02-23 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-01-30 | 2023-02-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-30 | 2023-02-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-30 | 2023-02-23 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-01-30 | 2023-02-23 | 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 | 2023-01-30 | 2023-02-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-30 | 2023-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-30 | 2023-02-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-30 | 2023-02-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-30 | 2023-02-23 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-14 | 2023-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-05 | 2022-05-16 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-05 | 2022-05-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-19 | 2020-01-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-19 | 2020-01-18 | 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 | 2019-12-19 | 2020-01-18 | 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 | 2019-12-19 | 2020-01-18 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-12-19 | 2020-01-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-01-18 | N |
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