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Deficiency Records for Vantage at Wilbraham LLC

A list of the most recent deficiencies for Vantage at Wilbraham LLC. 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 Vantage at Wilbraham LLC. 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 services provided by the nursing facility meet professional standards of quality. Health 2023-06-27 2023-07-20 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-06-27 2023-07-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-06-27 2023-07-20 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-06-27 2023-07-20 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 2023-06-27 2023-07-20 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-06-27 2023-07-20 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 2023-06-27 2023-07-20 N
Ensure medication error rates are not 5 percent or greater. Health 2023-06-27 2023-07-20 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 2023-06-27 2023-07-20 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-06-27 2023-07-20 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2023-06-27 2023-07-20 N
Provide and implement an infection prevention and control program. Health 2023-06-27 2023-07-20 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-07-03 2023-07-13 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-10-27 2022-12-01 Y
Respond appropriately to all alleged violations. Health 2022-10-27 2022-12-01 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-10-27 2022-12-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-27 2022-12-01 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-06-30 2022-09-08 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-06-30 2022-09-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-06-30 2022-09-08 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-06-30 2022-09-08 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 2022-06-30 2022-09-08 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-06-30 2022-09-08 N
Provide and implement an infection prevention and control program. Health 2022-06-30 2022-09-08 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-06-30 2022-08-26 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-06-30 2022-08-26 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-06-30 2022-08-26 N
Keep residents' personal and medical records private and confidential. Health 2022-06-30 2022-08-26 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 2022-06-30 2022-08-26 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-06-30 2022-08-26 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-06-30 2022-08-26 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 2022-06-30 2022-08-26 N
Ensure each resident receives an accurate assessment. Health 2022-06-30 2022-08-26 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-06-30 2022-08-26 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 2022-06-30 2022-08-26 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-06-30 2022-08-26 N
Provide activities to meet all resident's needs. Health 2022-06-30 2022-08-26 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-30 2022-08-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-06-30 2022-08-26 N
Provide appropriate foot care. Health 2022-06-30 2022-08-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-30 2022-08-26 N
Provide enough food/fluids to maintain a resident's health. Health 2022-06-30 2022-08-26 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-06-30 2022-08-26 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-06-30 2022-08-26 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2022-06-30 2022-08-26 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-06-30 2022-08-26 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-06-30 2022-08-26 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-06-30 2022-08-26 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 2022-06-30 2022-08-26 N
Ensure medication error rates are not 5 percent or greater. Health 2022-06-30 2022-08-26 N
Ensure that residents are free from significant medication errors. Health 2022-06-30 2022-08-26 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 2022-06-30 2022-08-26 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2022-06-30 2022-08-26 N
Provide or obtain dental services for each resident. Health 2022-06-30 2022-08-26 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-06-30 2022-08-26 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2022-06-30 2022-08-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-06-30 2022-08-26 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-06-30 2022-08-26 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-06-30 2022-08-26 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 2022-02-16 2022-04-18 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-16 2022-04-18 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-02-16 2022-04-18 Y
Provide and implement an infection prevention and control program. Health 2022-02-16 2022-04-18 Y
Provide and implement an infection prevention and control program. Health 2021-11-02 2021-11-12 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 2021-05-26 2021-07-24 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-05-26 2021-07-17 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2021-05-26 2021-07-17 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-05-26 2021-07-17 N
The resident has the right to receive notices in a format and a language he or she understands. Health 2021-05-26 2021-07-17 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-05-26 2021-07-17 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2021-05-26 2021-07-17 N
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Health 2021-05-26 2021-07-17 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 2021-05-26 2021-07-17 N
Ensure each resident receives an accurate assessment. Health 2021-05-26 2021-07-17 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-05-26 2021-07-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-26 2021-07-17 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 2021-05-26 2021-07-17 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-05-26 2021-07-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-26 2021-07-17 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-05-26 2021-07-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-05-26 2021-07-17 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 2021-05-26 2021-07-17 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2021-05-26 2021-07-17 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-05-26 2021-07-17 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-05-26 2021-07-17 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2021-05-26 2021-07-17 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 2021-05-26 2021-07-17 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 2021-05-26 2021-07-17 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-05-26 2021-07-17 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2021-05-26 2021-07-17 N
Provide and implement an infection prevention and control program. Health 2021-05-26 2021-07-17 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2021-05-26 2021-07-17 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2021-05-26 2021-07-17 N

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