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Deficiency Records for Willows at Bellevue

A list of the most recent deficiencies for Willows at Bellevue. 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 Willows at Bellevue. 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?
Reasonably accommodate the needs and preferences of each resident. Health 2023-06-01 2023-06-08 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-02-02 2023-03-03 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-02-02 2023-03-03 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-02-02 2023-03-03 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-02 2023-03-03 N
Provide enough food/fluids to maintain a resident's health. Health 2023-02-02 2023-03-03 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-02-02 2023-03-03 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-02-02 2023-03-03 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2023-02-02 2023-03-03 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-02-02 2023-03-03 N
Use approved construction type or materials. Fire Safety 2023-01-31 2023-03-03 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 2023-01-31 2023-03-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-31 2023-03-03 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-01-31 2023-03-03 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-01-31 2023-03-03 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-02-10 2022-02-15 Y
Reasonably accommodate the needs and preferences of each resident. Health 2019-12-28 2020-01-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-12-28 2020-01-31 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2019-12-28 2020-01-31 N
Establish an Emergency Preparedness Program (EP). Fire Safety 2019-12-26 2020-01-31 N
Install a two-hour-resistant firewall separation. Fire Safety 2019-12-26 2020-01-31 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 2019-12-26 2020-01-31 N
Provide properly protected cooking facilities. Fire Safety 2019-12-26 2020-01-31 N
Install an approved automatic sprinkler system. Fire Safety 2019-12-26 2020-01-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-12-26 2020-01-31 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-12-26 2020-01-31 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2018-11-01 2018-12-07 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2018-11-01 2018-12-07 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 2018-11-01 2018-12-07 N
Have exits that are accessible at all times. Fire Safety 2018-10-31 2018-12-07 N
Install proper backup exit lighting. Fire Safety 2018-10-31 2018-12-07 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 2018-10-31 2018-12-07 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2018-10-31 2018-12-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-10-31 2018-12-07 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2018-10-31 2018-12-07 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2018-10-31 2018-12-07 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2018-10-31 2018-12-07 N
Meet other general requirements that are deficient. Fire Safety 2018-10-31 2018-12-07 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2018-10-31 2018-12-07 N
Provide a written emergency evacuation plan. Fire Safety 2018-10-31 2018-12-07 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-10-31 2018-12-07 N
Have proper medical gas storage and administration areas. Fire Safety 2018-10-31 2018-12-07 N

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