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Deficiency Records for Westgate Nursing and Rehab Community
A list of the most recent deficiencies for Westgate Nursing and Rehab Community. 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 Westgate Nursing and Rehab Community. 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? |
---|---|---|---|---|
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-11 | 2024-10-07 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-11 | 2024-10-07 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-09-10 | 2024-10-04 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-10 | 2024-10-04 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-09-11 | 2024-09-11 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-14 | 2023-10-10 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-14 | 2023-10-10 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-14 | 2023-10-10 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-14 | 2023-10-10 | N |
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-09-14 | 2023-10-10 | 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 | 2023-09-14 | 2023-10-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-10-10 | 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 | 2023-09-14 | 2023-10-10 | N |
Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-10 | N |
Respond appropriately to all alleged violations. | Health | 2023-09-14 | 2023-10-10 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-14 | 2023-10-10 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-14 | 2023-10-10 | Y |
Conduct testing and exercise requirements. | Fire Safety | 2023-09-22 | 2023-10-10 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-09-22 | 2023-10-10 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-09-22 | 2023-10-10 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-09-22 | 2023-10-10 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-22 | 2023-10-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-22 | 2023-10-10 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2023-09-22 | 2023-10-10 | N |
Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2023-09-22 | 2023-10-10 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-03 | 2022-08-29 | Y |
Develop a communication plan. | Fire Safety | 2022-08-16 | 2022-08-29 | N |
Have exits that are accessible at all times. | Fire Safety | 2022-08-16 | 2022-08-29 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-08-16 | 2022-08-29 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-16 | 2022-08-29 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-16 | 2022-08-29 | N |
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