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Deficiency Records for Wellbridge of Clarkston
A list of the most recent deficiencies for Wellbridge of Clarkston. 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 Wellbridge of Clarkston. 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? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-04 | 2024-08-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-04 | 2024-07-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-06-05 | 2024-06-25 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-06-05 | 2024-06-25 | 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 | 2024-06-05 | 2024-06-25 | 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 | 2024-06-05 | 2024-06-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-05 | 2024-06-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-05 | 2024-06-25 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-06-05 | 2024-06-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-05 | 2024-06-25 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-05 | 2024-06-25 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-04 | 2024-06-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-04 | 2024-06-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-04 | 2024-06-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-04 | 2024-06-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-04 | 2024-06-25 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2024-06-05 | 2024-06-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-05 | 2024-06-05 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2024-06-05 | 2024-06-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-16 | 2023-08-29 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-15 | 2023-07-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-15 | 2023-07-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-15 | 2023-07-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-15 | 2023-07-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-15 | 2023-07-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-15 | 2023-07-10 | Y |
| 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 | 2023-06-15 | 2023-07-10 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-15 | 2023-07-10 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-15 | 2023-07-10 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-06-15 | 2023-07-10 | Y |
| 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 | 2023-06-15 | 2023-07-10 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-06-15 | 2023-07-10 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-15 | 2023-07-10 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-08-16 | 2022-09-02 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-08-16 | 2022-09-02 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-16 | 2022-09-02 | Y |
| 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 | 2022-08-16 | 2022-09-02 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-28 | 2022-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-28 | 2022-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-28 | 2022-05-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-28 | 2022-05-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-28 | 2022-05-17 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-04-26 | 2022-05-13 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-26 | 2022-05-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-26 | 2022-05-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-04-26 | 2022-05-13 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-04-26 | 2022-05-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-26 | 2022-05-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-26 | 2022-05-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-26 | 2022-05-13 | Y |
| 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 | 2022-04-26 | 2022-05-13 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-04-26 | 2022-05-13 | Y |
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