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Deficiency Records for Westminster Woods at Huntingdo
A list of the most recent deficiencies for Westminster Woods at Huntingdo. 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 Westminster Woods at Huntingdo. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-07 | 2024-09-05 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-05-15 | 2024-06-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-15 | 2024-06-26 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-05-15 | 2024-06-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-15 | 2024-06-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-15 | 2024-06-26 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-05-15 | 2024-06-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-15 | 2024-06-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-05-16 | 2024-06-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-16 | 2024-06-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-16 | 2024-06-11 | 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 | 2024-05-16 | 2024-06-11 | 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 | 2024-05-16 | 2024-06-11 | 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 | 2024-05-16 | 2024-06-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-23 | 2024-01-23 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-07-13 | 2023-08-23 | 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 | 2023-07-13 | 2023-08-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-13 | 2023-08-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-13 | 2023-08-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-13 | 2023-08-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-13 | 2023-08-23 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-07-13 | 2023-08-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-07-13 | 2023-08-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-07 | 2023-08-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-07 | 2023-08-09 | 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 | 2023-07-07 | 2023-08-09 | 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 | 2023-07-07 | 2023-08-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-07 | 2023-08-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-07-07 | 2023-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-07 | 2023-08-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-30 | 2023-06-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-30 | 2023-06-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-30 | 2023-06-19 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-02-26 | 2023-03-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-26 | 2023-03-21 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-04 | 2022-11-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-28 | 2022-11-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-28 | 2022-11-01 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-09-28 | 2022-11-01 | Y |
| 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 | 2022-07-20 | 2022-08-20 | 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 | 2022-07-20 | 2022-08-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-20 | 2022-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-20 | 2022-08-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-07-20 | 2022-08-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-20 | 2022-08-20 | 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 | 2022-07-20 | 2022-08-20 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-07-20 | 2022-08-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-20 | 2022-08-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-20 | 2022-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-20 | 2022-08-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-20 | 2022-08-20 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-07-20 | 2022-08-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-26 | 2022-03-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-26 | 2022-03-01 | Y |
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