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Deficiency Records for Wellsville Manor Care Center
A list of the most recent deficiencies for Wellsville Manor Care 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 Wellsville Manor Care 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? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-14 | 2024-08-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-14 | 2024-08-13 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-06-14 | 2024-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-14 | 2024-08-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-14 | 2024-08-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-14 | 2024-08-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-14 | 2024-08-13 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-06-14 | 2024-08-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-06-14 | 2024-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-14 | 2024-08-13 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-06-14 | 2024-08-12 | 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 | 2024-06-14 | 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 | 2024-06-14 | 2024-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-14 | 2024-08-12 | N |
| 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 | 2024-06-14 | 2024-08-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-09 | 2024-07-01 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-07-22 | 2022-09-16 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-07-22 | 2022-09-16 | 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 | 2022-07-22 | 2022-09-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-07-22 | 2022-09-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-22 | 2022-09-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-02 | 2019-10-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-02 | 2019-10-01 | 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 | 2019-08-02 | 2019-10-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-08-02 | 2019-10-01 | N |
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