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Deficiency Records for Vantage at Wakefield LLC
A list of the most recent deficiencies for Vantage at Wakefield 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 Wakefield 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-13 | 2024-04-13 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2024-03-13 | 2024-04-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-13 | 2024-04-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-13 | 2024-04-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-13 | 2024-04-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-13 | 2024-04-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-03-13 | 2024-04-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-03-13 | 2024-04-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-13 | 2024-04-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-13 | 2024-04-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-13 | 2024-04-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-29 | 2024-04-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-02-29 | 2024-04-01 | 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 | 2024-02-29 | 2024-04-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-29 | 2024-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-29 | 2024-04-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-02-02 | 2023-03-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-02 | 2023-03-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-02 | 2023-03-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-02 | 2023-03-19 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-02-02 | 2023-03-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-20 | 2023-02-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-02 | 2023-02-15 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-02-02 | 2023-02-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-02 | 2023-02-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-02 | 2023-02-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-02 | 2023-02-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-20 | 2023-02-08 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-01-20 | 2023-02-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-20 | 2023-02-08 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-01-20 | 2023-02-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-20 | 2023-02-08 | 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 | 2023-01-20 | 2023-02-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-20 | 2023-02-08 | 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 | 2023-01-20 | 2023-02-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-20 | 2023-02-08 | 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 | 2023-01-20 | 2023-02-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-20 | 2023-02-08 | 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 | 2023-01-20 | 2023-02-08 | N |
| Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | Health | 2023-01-20 | 2023-02-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-20 | 2023-02-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-10 | 2022-04-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-10 | 2022-04-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-10 | 2022-04-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-10 | 2022-04-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-10 | 2022-04-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-10 | 2022-04-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-10 | 2022-04-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-10 | 2022-04-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-10 | 2022-04-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-10 | 2022-04-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-28 | 2022-03-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-02-28 | 2022-03-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-28 | 2022-03-18 | N |
| Respond appropriately to all alleged violations. | Health | 2022-02-28 | 2022-03-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-28 | 2022-03-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-28 | 2022-03-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-28 | 2022-03-18 | N |
| Provide activities to meet all resident's needs. | Health | 2022-02-28 | 2022-03-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-02-28 | 2022-03-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-28 | 2022-03-18 | 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 | 2022-02-28 | 2022-03-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-28 | 2022-03-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-02-28 | 2022-03-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-28 | 2022-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-28 | 2022-03-18 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-28 | 2022-03-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-12 | 2022-01-08 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-02-02 | Not Fixed | N |
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