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Deficiency Records for Westmoreland Manor
A list of the most recent deficiencies for Westmoreland Manor. 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 Westmoreland Manor. 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? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-05-09 | 2024-06-07 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-05-09 | 2024-06-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-09 | 2024-06-07 | 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 | 2024-05-09 | 2024-06-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-09 | 2024-06-07 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-05-09 | 2024-06-07 | 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 | 2024-05-09 | 2024-06-07 | 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 | 2024-05-09 | 2024-06-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-09 | 2024-06-07 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-05-09 | 2024-06-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-05-09 | 2024-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-09 | 2024-06-07 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-05-13 | 2024-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-13 | 2024-05-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-13 | 2024-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-29 | 2023-09-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-15 | 2023-09-08 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-08-15 | 2023-09-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-13 | 2023-07-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-13 | 2023-07-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-13 | 2023-07-10 | 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 | 2023-06-13 | 2023-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-15 | 2023-07-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-15 | 2023-07-05 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2023-06-15 | 2023-07-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-03 | 2022-12-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-03 | 2022-12-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-03 | 2022-12-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-03 | 2022-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-03 | 2022-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-03 | 2022-12-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-03 | 2022-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-03 | 2022-12-07 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
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