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Deficiency Records for Westover Retirement Community
A list of the most recent deficiencies for Westover Retirement Community. 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 Westover Retirement Community. 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 activities to meet all resident's needs. | Health | 2024-10-10 | 2024-11-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-10-10 | 2024-11-27 | 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 | 2024-10-09 | 2024-11-27 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-10-09 | 2024-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-09 | 2024-11-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-09 | 2024-11-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-05 | 2021-12-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-05 | 2021-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-05 | 2021-12-06 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-05 | 2021-12-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-29 | 2021-12-06 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-09-29 | 2021-12-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-29 | 2021-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-29 | 2021-12-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-29 | 2021-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-20 | 2020-04-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-18 | 2020-04-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-18 | 2020-04-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-18 | 2020-04-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-18 | 2020-04-09 | N |
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