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Deficiency Records for Westward Trails Nursing and Rehabilitation
A list of the most recent deficiencies for Westward Trails Nursing and Rehabilitation. 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 Westward Trails Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-21 | 2024-05-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-21 | 2024-05-31 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2024-05-21 | 2024-05-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-04-24 | 2024-04-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-04-24 | 2024-04-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-04-24 | 2024-04-30 | 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 | 2024-04-24 | 2024-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-24 | 2024-04-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-24 | 2024-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-24 | 2024-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-24 | 2024-04-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-04-24 | 2024-04-30 | N |
| Have policies on smoking. | Health | 2024-04-24 | 2024-04-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-15 | 2023-04-08 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-03-15 | 2023-04-08 | 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 | 2023-03-15 | 2023-04-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-15 | 2023-04-08 | 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 | 2023-03-15 | 2023-04-08 | N |
| Have policies on smoking. | Health | 2023-03-15 | 2023-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-03 | 2023-03-06 | Y |
| Assess the resident when there is a significant change in condition | Health | 2022-01-19 | 2022-02-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-19 | 2022-02-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-19 | 2022-02-09 | 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 | 2022-01-18 | 2022-02-09 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-01-18 | 2022-02-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-18 | 2022-02-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-18 | 2022-02-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-18 | 2022-02-09 | N |
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