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Deficiency Records for Wesley Enhanced Living at Stapeley

A list of the most recent deficiencies for Wesley Enhanced Living at Stapeley. 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 Enhanced Living at Stapeley. 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 timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Health 2024-08-09 2024-09-20 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 2024-08-09 2024-09-20 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-08-09 2024-09-20 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-09 2024-09-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-09 2024-09-20 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-08-09 2024-09-20 Y
Provide and implement an infection prevention and control program. Health 2024-08-09 2024-09-20 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-08-13 2024-08-25 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 2024-08-13 2024-08-25 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-04-09 2024-05-02 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-10-03 2023-11-16 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-10-03 2023-11-10 N
Conduct testing and exercise requirements. Fire Safety 2023-10-03 2023-11-10 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-10-03 2023-11-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-10-03 2023-11-10 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-10-03 2023-11-10 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2023-10-03 2023-11-10 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-10-03 2023-11-10 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-10-03 2023-11-10 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-10-03 2023-11-10 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-10-03 2023-11-10 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-09-28 2023-11-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-09-28 2023-11-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-09-28 2023-11-01 N
Post nurse staffing information every day. Health 2023-09-28 2023-11-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-28 2023-11-01 N
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Health 2023-09-28 2023-11-01 N
Keep all essential equipment working safely. Health 2023-09-28 2023-11-01 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-09-28 2023-11-01 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-11-21 2022-12-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-21 2022-12-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-11-21 2022-12-25 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2022-11-15 2022-12-22 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-11-15 2022-12-22 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-11-15 2022-12-22 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-15 2022-12-22 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-11-15 2022-12-22 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-11-15 2022-12-22 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-11-15 2022-12-22 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-01-13 2022-03-01 Y
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 2022-01-13 2022-03-01 Y
Respond appropriately to all alleged violations. Health 2023-06-07 Not Fixed Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-06-07 Not Fixed Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-06-07 Not Fixed Y

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