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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?
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
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-04-13 2021-05-28 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-04-13 2021-05-28 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2021-04-13 2021-05-28 N
Provide properly protected cooking facilities. Fire Safety 2021-04-13 2021-05-28 N
Construct fire resistant interior walls. Fire Safety 2021-04-13 2021-05-28 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2021-04-13 2021-05-28 N
Install an approved automatic sprinkler system. Fire Safety 2021-04-13 2021-05-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-04-13 2021-05-28 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-04-13 2021-05-28 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-04-13 2021-05-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-04-13 2021-05-28 N
Have power receptacles that are properly grounded. Fire Safety 2021-04-13 2021-05-28 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-04-13 2021-05-28 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-04-13 2021-05-28 N
Have proper medical gas storage and administration areas. Fire Safety 2021-04-13 2021-05-28 N
Ensure that sources of ignition are removed from patients receiving respiratory therapy. Fire Safety 2021-04-13 2021-05-28 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-04-07 2021-05-07 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-04-07 2021-05-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-04-07 2021-05-07 N
Provide enough food/fluids to maintain a resident's health. Health 2021-04-07 2021-05-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-04-07 2021-05-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-04-07 2021-05-07 N
Provide and implement an infection prevention and control program. Health 2021-04-07 2021-05-07 N

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