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Deficiency Records for Wingfield Skilled Nursing and Rehabilitation Cente
A list of the most recent deficiencies for Wingfield Skilled Nursing and Rehabilitation Cente. 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 Wingfield Skilled Nursing and Rehabilitation Cente. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-27 | 2024-04-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-27 | 2024-04-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-27 | 2024-04-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-27 | 2024-04-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-14 | 2024-01-26 | 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 | 2023-12-14 | 2024-01-26 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-12-14 | 2024-01-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-14 | 2024-01-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-14 | 2024-01-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-14 | 2024-01-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-14 | 2024-01-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-14 | 2024-01-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-14 | 2024-01-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-14 | 2024-01-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-14 | 2024-01-26 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-12-14 | 2024-01-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-14 | 2024-01-26 | 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 | 2023-12-14 | 2024-01-26 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-12-14 | 2024-01-26 | 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 | 2023-12-14 | 2024-01-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-12 | 2024-01-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-12 | 2024-01-09 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-12-12 | 2024-01-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-12 | 2024-01-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-12 | 2024-01-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-15 | 2023-11-15 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-11-15 | 2023-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-15 | 2023-11-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-15 | 2023-11-15 | 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 | 2022-11-18 | 2023-01-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-18 | 2023-01-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-18 | 2023-01-10 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-11-18 | 2023-01-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-18 | 2023-01-10 | 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 | 2022-11-18 | 2023-01-10 | 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 | 2022-11-18 | 2023-01-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-18 | 2023-01-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-18 | 2023-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-18 | 2023-01-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-18 | 2023-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-18 | 2023-01-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-18 | 2023-01-10 | N |
| Post nurse staffing information every day. | Health | 2022-11-18 | 2023-01-10 | 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 | 2022-11-18 | 2023-01-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-18 | 2023-01-10 | 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 | 2022-11-18 | 2023-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-18 | 2023-01-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-18 | 2023-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-18 | 2023-01-10 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-11-18 | 2023-01-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-18 | 2023-01-10 | 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 | 2022-11-18 | 2023-01-10 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-11-18 | 2023-01-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-18 | 2023-01-10 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-11-18 | 2023-01-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-18 | 2023-01-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-11-18 | 2023-01-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-11-18 | 2023-01-10 | 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 | 2022-11-18 | 2023-01-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-18 | 2023-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-18 | 2023-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-18 | 2023-01-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-18 | 2023-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-18 | 2023-01-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-18 | 2023-01-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-18 | 2022-12-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-18 | 2022-12-30 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-11-18 | 2022-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-17 | 2022-06-13 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-09 | 2022-03-25 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-12 | 2022-02-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-01-06 | 2022-02-05 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-01-06 | 2022-02-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-06 | 2022-02-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-01-06 | 2022-02-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-01-06 | 2022-02-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-06 | 2022-02-05 | 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 | 2022-01-06 | 2022-02-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-06 | 2022-02-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-01-06 | 2022-02-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-06 | 2022-02-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-06 | 2022-02-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-06 | 2022-02-05 | 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 | 2022-01-06 | 2022-02-05 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-01-06 | 2022-02-05 | 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 | 2022-01-06 | 2022-02-05 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-01-06 | 2022-02-05 | 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 | 2022-01-06 | 2022-02-05 | 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 | 2022-01-06 | 2022-02-05 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-01-12 | 2022-02-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-12 | 2022-02-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-12 | 2022-02-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-12 | 2022-02-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-12 | 2022-02-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-01-12 | 2022-02-05 | 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 | 2022-01-06 | 2022-02-01 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-01-06 | 2022-02-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-06 | 2022-02-01 | 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 | 2022-01-12 | 2022-01-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-12 | 2022-01-12 | N |
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