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Deficiency Records for Welbrook Senior Living, LLC
A list of the most recent deficiencies for Welbrook Senior Living, LLC. 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 Welbrook Senior Living, LLC. 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? |
|---|---|---|---|---|
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-07 | 2024-01-14 | 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 | 2023-12-07 | 2024-01-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-07 | 2024-01-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-07 | 2024-01-14 | N |
| Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Fire Safety | 2023-12-12 | 2024-01-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-12 | 2024-01-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-12 | 2024-01-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-09 | 2022-12-01 | 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 | 2022-09-09 | 2022-10-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-06 | 2022-10-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-06 | 2022-09-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-06 | 2022-09-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-06 | 2022-09-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-01 | 2021-07-23 | N |
| Have an externally vented heating system. | Fire Safety | 2021-06-01 | 2021-07-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-27 | 2021-07-21 | 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 | 2021-05-27 | 2021-07-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-27 | 2021-07-21 | 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 | 2021-05-27 | 2021-07-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-27 | 2021-07-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-27 | 2021-07-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-27 | 2021-07-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-27 | 2021-07-21 | 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 | 2021-05-27 | 2021-07-21 | 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 | 2021-05-27 | 2021-07-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-27 | 2021-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-27 | 2021-07-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-05-27 | 2021-07-21 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-06-01 | 2021-07-21 | N |
| Meet other general requirements. | Fire Safety | 2021-06-01 | 2021-07-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-01 | 2021-07-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-01 | 2021-07-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-01 | 2021-07-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-01 | 2021-07-21 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-06-01 | 2021-07-21 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-06-01 | 2021-07-21 | N |
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