Deficiency Records for Life Care Center of Wilbraham

A list of the most recent deficiencies for Life Care Center of Wilbraham. 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Health	2023-12-15	2024-01-31	N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	Health	2023-12-15	2024-01-31	N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Health	2023-12-15	2024-01-31	N
Ensure services provided by the nursing facility meet professional standards of quality.	Health	2023-12-15	2024-01-31	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	2023-12-15	2024-01-31	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	2023-12-15	2024-01-31	N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Health	2023-12-15	2024-01-31	N
Provide and implement an infection prevention and control program.	Health	2023-12-15	2024-01-31	N
Develop and implement policies and procedures for flu and pneumonia vaccinations.	Health	2023-12-15	2024-01-31	N
Implement emergency and standby power systems.	Fire Safety	2024-01-02	2024-01-17	N
Have generator or other power source capable of supplying service within 10 seconds.	Fire Safety	2024-01-02	2024-01-17	N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	Health	2022-05-13	2022-06-16	N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	Health	2022-05-13	2022-06-16	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	2022-05-13	2022-06-16	N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Health	2022-05-13	2022-06-16	N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Health	2022-05-13	2022-06-16	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	2022-05-13	2022-06-16	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	2022-05-13	2022-06-16	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	2022-05-13	2022-06-16	N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Health	2022-05-13	2022-06-16	N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Health	2022-05-13	2022-06-16	N
Have generator or other power source capable of supplying service within 10 seconds.	Fire Safety	2020-01-13	2020-01-30	N
Have simulated fire drills held at unexpected times.	Fire Safety	2020-01-13	2020-01-28	N
Implement emergency and standby power systems.	Fire Safety	2020-01-13	2020-01-15	N
Have an externally vented heating system.	Fire Safety	2020-01-13	2020-01-13	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	2019-10-31	2019-11-18	N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Health	2019-10-31	2019-11-18	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	2019-10-31	2019-11-18	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	2019-10-31	2019-11-18	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	2019-10-31	2019-11-18	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	2019-10-31	2019-11-18	N

Deficiency Records for Life Care Center of Wilbraham

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