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Deficiency Records for Westhaven Community
A list of the most recent deficiencies for Westhaven 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 Westhaven 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? |
---|---|---|---|---|
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 | 2024-05-21 | 2024-06-05 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-21 | 2024-06-04 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-03-30 | 2023-04-25 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-30 | 2023-04-25 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-30 | 2023-04-25 | 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 | 2023-03-30 | 2023-04-25 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-30 | 2023-04-25 | Y |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-03 | 2023-04-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-20 | 2022-01-03 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-12-20 | 2021-12-31 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-20 | 2021-12-29 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-12-20 | 2021-12-27 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-20 | 2021-12-20 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-20 | 2021-12-20 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-20 | 2021-12-20 | N |
Have an externally vented heating system. | Fire Safety | 2021-12-20 | 2021-12-20 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-20 | 2021-12-20 | N |
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