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Deficiency Records for Wesley Village

A list of the most recent deficiencies for Wesley Village. 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 Wesley Village. 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-07-19 2024-08-27 N
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 2024-07-19 2024-08-27 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-07-19 2024-08-27 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-19 2024-08-27 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-07-19 2024-08-27 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2024-07-19 2024-08-27 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-07-19 2024-08-27 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-07-19 2024-08-27 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 2024-07-19 2024-08-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-19 2024-08-27 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 2024-07-30 2024-08-27 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-07-30 2024-08-27 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-05-14 2024-05-27 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-06-30 2023-08-22 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-06-30 2023-08-22 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-06-30 2023-08-22 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-06-30 2023-08-22 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-06-06 2023-07-17 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 2023-06-06 2023-07-17 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 2023-01-17 2023-02-28 Y
Provide or obtain dental services for each resident. Health 2023-01-17 2023-02-28 Y
Assess the resident when there is a significant change in condition Health 2022-07-29 2022-09-16 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2022-07-29 2022-09-16 N
Ensure each resident receives an accurate assessment. Health 2022-07-29 2022-09-16 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 2022-07-29 2022-09-16 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 2022-07-29 2022-09-16 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-29 2022-09-16 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-07-29 2022-09-16 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-07-29 2022-09-16 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 2022-07-29 2022-09-16 N
Provide and implement an infection prevention and control program. Health 2022-07-29 2022-09-16 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-07-19 2022-08-24 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-07-19 2022-08-24 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-07-19 2022-08-24 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-07-19 2022-08-24 N
Meet requirements for the use of electrical equipment. Fire Safety 2022-07-19 2022-08-24 N
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 2022-05-26 2022-06-27 Y
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Health 2022-02-15 2022-03-15 Y
Perform COVID19 testing on residents and staff. Health 2022-02-15 2022-03-15 Y
Provide routine and 24-hour emergency dental care for each resident. Health 2021-10-29 2022-01-25 Y
Provide or obtain dental services for each resident. Health 2021-10-29 2022-01-25 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-08-22 Not Fixed Y

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