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Deficiency Records for Warsaw Health and Rehabilitation Center

A list of the most recent deficiencies for Warsaw Health 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 Warsaw Health 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?
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2024-06-28 2024-08-12 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 2024-06-28 2024-08-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-28 2024-08-12 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-06-28 2024-08-12 N
Provide activities to meet all resident's needs. Health 2024-06-28 2024-08-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-28 2024-08-12 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2024-06-28 2024-08-12 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2024-06-28 2024-08-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-28 2024-08-12 N
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2024-06-28 2024-08-12 N
Provide and implement an infection prevention and control program. Health 2024-06-28 2024-08-12 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-06-28 2024-08-12 Y
Respond appropriately to all alleged violations. Health 2024-06-28 2024-08-12 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-06-28 2024-08-12 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-06-28 2024-08-12 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2024-06-28 2024-08-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-06-28 2024-08-12 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2024-06-28 2024-08-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-06-28 2024-08-12 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-06-28 2024-08-12 N
Meet other general requirements that are deficient. Fire Safety 2024-06-28 2024-08-12 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-06-28 2024-08-12 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-06-28 2024-08-12 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-06-28 2024-08-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-06-28 2024-08-12 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-06-28 2024-08-12 N
Have proper medical gas storage and administration areas. Fire Safety 2024-06-28 2024-08-12 N
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Health 2023-04-28 2023-06-05 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-04-28 2023-06-05 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-04-28 2023-06-05 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 2023-04-28 2023-06-05 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 2023-04-28 2023-06-05 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-04-28 2023-06-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-28 2023-06-05 N
Provide and implement an infection prevention and control program. Health 2023-04-28 2023-06-05 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2023-04-28 2023-06-05 N
Ensure staff are vaccinated for COVID-19 Health 2023-04-28 2023-06-05 N
Establish staff and initial training requirements. Fire Safety 2023-04-28 2023-06-05 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-04-28 2023-06-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-28 2023-06-05 N
Have proper medical gas storage and administration areas. Fire Safety 2023-04-28 2023-06-05 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2023-04-28 2023-06-05 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-03-06 2023-03-06 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-11-16 2022-11-16 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-05-20 2022-06-15 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-03-30 2022-04-02 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-04-06 2021-05-06 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-04-06 2021-05-06 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 2021-04-06 2021-05-06 N
Respond appropriately to all alleged violations. Health 2021-04-06 2021-05-06 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-04-06 2021-05-06 N
Provide activities to meet all resident's needs. Health 2021-04-06 2021-05-06 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-04-06 2021-05-06 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-04-06 2021-05-06 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-04-06 2021-05-06 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2021-04-06 2021-05-06 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2021-04-06 2021-05-06 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 2021-04-06 2021-05-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-04-06 2021-05-06 N
Provide and implement an infection prevention and control program. Health 2021-04-06 2021-05-06 N
Use approved construction type or materials. Fire Safety 2021-04-06 2021-05-06 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-04-06 2021-05-06 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-04-06 2021-05-06 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-04-06 2021-05-06 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-04-06 2021-05-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-04-06 2021-05-06 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-04-06 2021-05-06 N
Have proper medical gas storage and administration areas. Fire Safety 2021-04-06 2021-05-06 N

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