Deficiency Records for Wayland Nursing and Rehabilitation Center
Updated as of August 01, 2024
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Deficiency Records for Wayland Nursing and Rehabilitation Center
A list of the most recent deficiencies for Wayland Nursing and Rehabilitation Center. 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 Wayland Nursing and Rehabilitation Center. 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? |
---|---|---|---|---|
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-09 | 2023-04-25 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-09 | 2023-04-25 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-09 | 2023-02-28 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-09 | 2023-02-28 | N |
Use approved construction type or materials. | Fire Safety | 2022-09-09 | 2022-11-28 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-09 | 2022-11-28 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-09 | 2022-11-28 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-07-28 | 2022-09-01 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-28 | 2022-09-01 | 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 | 2022-07-28 | 2022-09-01 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-28 | 2022-09-01 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-07-28 | 2022-09-01 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-28 | 2022-09-01 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-07-28 | 2022-09-01 | 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 | 2022-07-28 | 2022-09-01 | 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 | 2022-07-28 | 2022-09-01 | N |
Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-07-28 | 2022-09-01 | N |
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-07-28 | 2022-09-01 | N |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-07-28 | 2022-09-01 | N |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-06-23 | 2022-07-22 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-23 | 2022-07-22 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-23 | 2022-07-22 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-23 | 2022-07-22 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-23 | 2022-07-22 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-23 | 2022-07-22 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-23 | 2022-07-22 | Y |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-06-23 | 2022-07-22 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-06-23 | 2022-07-22 | Y |
Ensure that residents are free from significant medication errors. | Health | 2022-06-23 | 2022-07-22 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-23 | 2022-07-22 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-01 | 2021-07-12 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-01 | 2021-07-12 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-01 | 2021-05-19 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2021-04-01 | 2021-05-19 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-01 | 2021-05-19 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-04-01 | 2021-05-19 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-01 | 2021-05-19 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-03-12 | 2021-04-12 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-03-12 | 2021-04-12 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-03-12 | 2021-04-12 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-12 | 2021-04-12 | 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 | 2021-03-12 | 2021-04-12 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-12 | 2021-04-12 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-03-12 | 2021-04-12 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-03-12 | 2021-04-12 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2021-03-12 | 2021-04-12 | 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 | 2021-03-12 | 2021-04-12 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-12 | 2021-04-12 | N |
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-03-12 | 2021-04-12 | N |
Establish staff and initial training requirements. | Fire Safety | 2021-03-12 | 2021-04-12 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-12 | 2021-03-02 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-06-24 | 2019-09-19 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-24 | 2019-08-12 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-24 | 2019-08-12 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-24 | 2019-08-12 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-24 | 2019-08-12 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-07 | 2019-07-21 | N |
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2019-06-07 | 2019-07-21 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-06-07 | 2019-07-21 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-07 | 2019-07-21 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-06-07 | 2019-07-21 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-06-07 | 2019-07-21 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-07 | 2019-07-21 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-07 | 2019-07-21 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-07 | 2019-07-21 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-07 | 2019-07-21 | 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 | 2019-06-07 | 2019-07-21 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-07 | 2019-07-21 | 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 | 2019-06-07 | 2019-07-21 | N |
Provide and implement an infection prevention and control program. | Health | 2019-06-07 | 2019-07-21 | N |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-06-07 | 2019-07-21 | N |
Establish emergency prep training and testing. | Fire Safety | 2019-06-07 | 2019-07-21 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-06-07 | 2019-07-21 | N |
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