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Deficiency Records for Centro Medico Wilma N Vazquez Snf
A list of the most recent deficiencies for Centro Medico Wilma N Vazquez Snf. 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 Centro Medico Wilma N Vazquez Snf. 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 | 2024-04-09 | 2024-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-09 | 2024-06-12 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-04-09 | 2024-06-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-09 | 2024-06-12 | 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 | 2024-04-10 | 2024-06-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-10 | 2024-06-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-04-10 | 2024-06-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-04-09 | 2024-06-07 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-04-10 | 2024-06-04 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-04-09 | 2024-05-31 | N |
| Provide activities to meet all resident's needs. | Health | 2024-04-09 | 2024-05-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-09 | 2024-05-31 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-04-09 | 2024-05-31 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-04-09 | 2024-05-31 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-04-09 | 2024-05-31 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-04-09 | 2024-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-09 | 2024-05-31 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-04-09 | 2024-05-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Develop a communication plan. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Establish methods for sharing information. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-10 | 2024-05-31 | 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 | 2024-04-10 | 2024-05-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Meet other general requirements. | Fire Safety | 2024-04-10 | 2024-05-31 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-04-09 | 2024-05-24 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-04-09 | 2024-05-17 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-04-09 | 2024-05-17 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2024-04-09 | 2024-05-10 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-04-18 | 2023-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-18 | 2023-06-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-04-18 | 2023-05-31 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-04-18 | 2023-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-18 | 2023-05-31 | 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 | 2023-04-18 | 2023-05-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-18 | 2023-05-09 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-18 | 2023-05-09 | N |
| Keep all essential equipment working safely. | Health | 2023-04-18 | 2023-05-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-02 | 2022-07-15 | 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 | 2022-05-19 | 2022-07-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-19 | 2022-07-10 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-05-19 | 2022-07-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-05-19 | 2022-07-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-19 | 2022-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-19 | 2022-06-24 | 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 | 2022-05-24 | 2022-06-23 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2022-05-24 | 2022-06-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-05-24 | 2022-06-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-24 | 2022-06-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-24 | 2022-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-24 | 2022-06-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-24 | 2022-06-23 | N |
| Meet other general requirements. | Fire Safety | 2022-05-24 | 2022-06-23 | N |
| Keep all essential equipment working safely. | Health | 2022-05-19 | 2022-06-08 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-19 | 2022-06-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-05-19 | 2022-05-20 | N |
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