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Deficiency Records for Complete Care at Wayne Hills Rehab and Resp Center

A list of the most recent deficiencies for Complete Care at Wayne Hills Rehab and Resp 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 Complete Care at Wayne Hills Rehab and Resp 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?
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Fire Safety 2024-05-24 2024-07-12 N
Use approved construction type or materials. Fire Safety 2024-05-24 2024-07-12 N
Install proper backup exit lighting. Fire Safety 2024-05-24 2024-07-12 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-05-24 2024-07-12 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 2024-05-24 2024-07-12 N
Provide properly protected cooking facilities. Fire Safety 2024-05-24 2024-07-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-05-24 2024-07-12 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-05-24 2024-07-12 N
Have proper power supply for life support equipment. Fire Safety 2024-05-24 2024-07-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-05-24 2024-07-12 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-05-24 2024-07-07 N
Ensure each resident receives an accurate assessment. Health 2024-05-24 2024-07-07 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-05-24 2024-07-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-05-24 2024-07-07 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2024-05-24 2024-07-07 N
Implement emergency and standby power systems. Fire Safety 2024-05-24 2024-07-07 N
Provide and implement an infection prevention and control program. Health 2023-09-26 2023-10-25 Y
Provide and implement an infection prevention and control program. Health 2022-02-23 2022-04-01 N
Have correct number of accessible exits for each story. Fire Safety 2022-02-23 2022-04-01 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-02-23 2022-04-01 N
Install proper backup exit lighting. Fire Safety 2022-02-23 2022-03-31 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-02-23 2022-03-23 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-02-23 2022-03-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-02-23 2022-03-01 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-02-23 2022-03-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-02-23 2022-03-01 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 2022-02-23 2022-03-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-23 2022-03-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-02-23 2022-03-01 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2020-01-06 2020-01-10 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 2020-01-06 2020-01-10 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 2020-01-06 2020-01-10 N

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