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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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