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Deficiency Records for Westford Nursing and Rehabilitation Center
A list of the most recent deficiencies for Westford Nursing and Rehabilitation 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 Westford Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2024-07-01 | 2024-07-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-01 | 2024-07-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-07-01 | 2024-07-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-01 | 2024-07-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-01 | 2024-07-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-01 | 2024-07-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-01 | 2024-07-25 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-07-01 | 2024-07-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-01 | 2024-07-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-14 | 2024-07-18 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-06-14 | 2024-07-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-14 | 2024-07-18 | 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 | 2024-06-14 | 2024-07-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-14 | 2024-07-18 | 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 | 2024-06-14 | 2024-07-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-06-14 | 2024-07-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-14 | 2024-07-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-07 | 2024-05-07 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-07 | 2024-01-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-05 | 2023-12-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-05 | 2023-12-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-25 | 2023-11-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-25 | 2023-11-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-17 | 2023-11-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-24 | 2023-08-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-07 | 2023-03-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-07 | 2023-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-07 | 2023-03-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-07 | 2023-03-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-07 | 2023-03-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-07 | 2023-03-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-07 | 2023-03-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-07 | 2023-03-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-02-07 | 2023-03-02 | 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 | 2023-02-07 | 2023-03-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-07 | 2023-03-02 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-02-07 | 2023-03-02 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-07 | 2023-03-02 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-02-07 | 2023-03-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-02-14 | 2023-03-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-14 | 2023-03-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-14 | 2023-03-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-01 | 2022-04-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-01 | 2022-04-22 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-26 | 2021-06-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-13 | 2021-06-10 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-05-13 | 2021-06-10 | 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 | 2021-05-13 | 2021-06-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-05-13 | 2021-06-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-13 | 2021-06-10 | N |
| Respond appropriately to all alleged violations. | Health | 2021-05-13 | 2021-06-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-13 | 2021-06-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-13 | 2021-06-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-13 | 2021-06-10 | 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 | 2021-05-13 | 2021-06-10 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-05-13 | 2021-06-10 | N |
| Provide or obtain dental services for each resident. | Health | 2021-05-13 | 2021-06-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-13 | 2021-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-13 | 2021-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-13 | 2021-06-10 | 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 | 2021-05-13 | 2021-06-10 | N |
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