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Deficiency Records for Wellington Place
A list of the most recent deficiencies for Wellington Place. 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 Wellington Place. 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 corridor and hallway doors that block smoke. | Fire Safety | 2023-08-14 | 2023-08-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-14 | 2023-08-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-14 | 2023-08-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-14 | 2023-08-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-14 | 2023-08-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-14 | 2023-08-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-10 | 2023-08-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-10 | 2023-08-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-10 | 2023-08-11 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-03 | 2022-06-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-05-03 | 2022-06-02 | 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 | 2022-05-03 | 2022-06-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-03 | 2022-06-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-03 | 2022-06-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-03 | 2022-06-02 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-05-03 | 2022-05-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-03 | 2022-05-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-04-28 | 2022-04-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-08 | 2022-01-07 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-10-18 | 2021-11-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-01-20 | 2021-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-20 | 2021-02-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-01-20 | 2021-02-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-01-20 | 2021-02-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-01-20 | 2021-02-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-01-20 | 2021-02-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-01-20 | 2021-01-29 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-01-20 | 2021-01-21 | N |
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