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Deficiency Records for Webster Manor Rehabilitation and Health Care Center
A list of the most recent deficiencies for Webster Manor Rehabilitation and Health Care Center. 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 Webster Manor Rehabilitation and Health Care Center. 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? |
|---|---|---|---|---|
| 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 | 2024-03-01 | 2024-04-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-01 | 2024-04-12 | N |
| 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 | 2024-03-01 | 2024-04-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-03-01 | 2024-04-05 | 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 | 2024-03-01 | 2024-04-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-01 | 2024-04-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-01 | 2024-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-01 | 2024-04-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-01 | 2024-04-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-01 | 2024-04-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-06 | 2024-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-06 | 2024-03-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-06 | 2024-03-29 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-03-01 | 2024-03-28 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-03-01 | 2024-03-27 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-03-01 | 2024-03-26 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-06-14 | 2023-07-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-04 | 2023-01-25 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-10-13 | 2023-01-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-13 | 2023-01-10 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-10-13 | 2023-01-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-13 | 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 | 2022-10-13 | 2022-11-25 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-10-13 | 2022-11-25 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-10-13 | 2022-11-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-05 | 2022-11-16 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-10-05 | 2022-11-16 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-05 | 2022-11-16 | 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 | 2022-10-05 | 2022-11-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-05 | 2022-11-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-05 | 2022-11-16 | 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 | 2022-10-05 | 2022-11-16 | N |
| Provide appropriate foot care. | Health | 2022-10-05 | 2022-11-16 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-10-05 | 2022-11-16 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-10-05 | 2022-11-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-05 | 2022-11-16 | N |
| Report COVID19 data to residents and families. | Health | 2022-10-05 | 2022-11-16 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-10-05 | 2022-11-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-02 | 2022-03-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-02 | 2022-03-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-13 | 2022-02-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-13 | 2022-02-21 | N |
| 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 | 2022-01-13 | 2022-02-21 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-01-13 | 2022-02-21 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-01-13 | 2022-02-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-13 | 2022-02-21 | 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 | 2022-01-13 | 2022-02-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-13 | 2022-02-21 | 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 | 2022-01-13 | 2022-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-13 | 2022-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-13 | 2022-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-02-21 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-13 | 2022-02-21 | N |
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