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Deficiency Records for West Meade Place
A list of the most recent deficiencies for West Meade Place. 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 West Meade Place. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-29 | 2022-11-17 | 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 | 2022-08-29 | 2022-11-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-29 | 2022-11-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-06 | 2022-10-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-06 | 2022-10-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-06 | 2022-10-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-06 | 2022-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-06 | 2022-10-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-06 | 2022-10-15 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-09-06 | 2022-10-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-29 | 2022-10-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-29 | 2022-10-15 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-08-29 | 2022-10-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-08-29 | 2022-10-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-08-29 | 2022-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-29 | 2022-10-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-29 | 2022-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-27 | 2022-06-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-27 | 2022-06-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-27 | 2022-06-10 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-04-27 | 2022-06-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-27 | 2022-06-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-27 | 2022-06-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-27 | 2022-04-30 | 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 | 2022-04-27 | 2022-04-29 | 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 | 2021-11-08 | 2021-12-17 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-09 | 2020-01-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-09 | 2020-01-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-12-11 | 2020-01-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-11 | 2020-01-08 | 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 | 2019-12-11 | 2020-01-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-11 | 2020-01-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-11 | 2020-01-08 | 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 | 2019-12-11 | 2020-01-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-11 | 2020-01-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-28 | 2019-03-01 | 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 | 2019-01-28 | 2019-03-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-01-28 | 2019-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-30 | 2019-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-30 | 2019-02-20 | N |
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