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Deficiency Records for Westport Rehabilitation and Nursing Center

A list of the most recent deficiencies for Westport Rehabilitation and Nursing 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 Westport Rehabilitation and Nursing 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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-22 2024-03-29 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-02-22 2024-03-29 Y
Ensure each resident receives an accurate assessment. Health 2023-05-10 2023-05-31 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-10 2023-05-31 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 2023-05-10 2023-05-31 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-05-10 2023-05-31 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-05-10 2023-05-31 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-10 2023-05-31 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-05-10 2023-05-31 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-10 2023-05-31 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-05-10 2023-05-31 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2023-05-10 2023-05-31 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-02-28 2023-03-22 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-28 2023-03-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-28 2023-03-22 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-01-31 2023-03-22 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-01-31 2023-03-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-31 2023-03-22 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-05-10 2023-02-22 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-01-31 2023-02-21 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 2023-01-31 2023-02-21 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-01-31 2023-02-21 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-01-31 2023-02-21 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-01-31 2023-02-21 Y
Add automatic sprinklers after major renovation. Fire Safety 2022-10-26 2022-11-18 N
Provide rooms that can be unlocked from inside without a key. Fire Safety 2022-10-26 2022-11-18 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-10-26 2022-11-18 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-10-19 2022-11-15 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-10-19 2022-11-15 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 2022-10-19 2022-11-15 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2022-10-19 2022-11-15 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 2022-10-19 2022-11-15 N
Ensure each resident receives an accurate assessment. Health 2022-10-19 2022-11-15 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 2022-10-19 2022-11-15 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-10-19 2022-11-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-19 2022-11-15 N
Provide enough food/fluids to maintain a resident's health. Health 2022-10-19 2022-11-15 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-10-19 2022-11-15 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2022-10-19 2022-11-15 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-10-19 2022-11-15 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 2022-10-19 2022-11-15 N
Ensure medication error rates are not 5 percent or greater. Health 2022-10-19 2022-11-15 N
Provide or obtain dental services for each resident. Health 2022-10-19 2022-11-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-10-19 2022-11-15 N
Provide and implement an infection prevention and control program. Health 2022-10-19 2022-11-15 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-10-19 2022-11-15 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-10-19 2022-11-15 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-10-19 2022-11-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-19 2022-11-15 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-10-19 2022-11-15 Y
Ensure that residents are free from significant medication errors. Health 2022-10-19 2022-11-15 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-10-19 2022-11-15 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-10-19 2022-11-15 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2021-10-05 2021-11-19 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 2021-10-05 2021-11-19 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2021-10-05 2021-11-19 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 2021-10-05 2021-11-19 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-10-05 2021-11-19 N
Assess the resident when there is a significant change in condition Health 2021-10-05 2021-11-19 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2021-10-05 2021-11-19 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-10-05 2021-11-19 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 2021-10-05 2021-11-19 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-10-05 2021-11-19 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-10-05 2021-11-19 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-10-05 2021-11-19 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-10-05 2021-11-19 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-10-05 2021-11-19 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 2021-10-05 2021-11-19 N
Observe each nurse aide's job performance and give regular training. Health 2021-10-05 2021-11-19 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 2021-10-05 2021-11-19 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2021-10-05 2021-11-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-10-05 2021-11-19 N
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Health 2021-10-05 2021-11-19 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-10-05 2021-11-19 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 2021-10-05 2021-11-19 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-10-05 2021-11-19 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-10-05 2021-11-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-10-05 2021-11-19 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2021-10-05 2021-11-19 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2021-10-05 2021-11-19 Y
Establish staff and initial training requirements. Fire Safety 2021-10-05 2021-11-19 N
Construct fire resistant interior walls. Fire Safety 2021-10-04 2021-10-19 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-10-04 2021-10-19 N
Have proper power supply for life support equipment. Fire Safety 2021-10-04 2021-10-19 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2020-02-07 2020-03-04 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-02-07 2020-03-04 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2020-02-07 2020-03-04 N
Have simulated fire drills held at unexpected times. Fire Safety 2020-02-07 2020-03-04 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2020-01-16 2020-02-17 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 2020-01-16 2020-02-17 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2020-01-16 2020-02-17 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2020-01-16 2020-02-17 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2020-01-16 2020-02-17 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 2020-01-16 2020-02-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-01-16 2020-02-17 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 2020-01-16 2020-02-17 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2020-01-16 2020-02-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-01-16 2020-02-17 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2020-01-16 2020-02-17 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2020-01-16 2020-02-17 N
Address patient/client population and determine types of services needed. Fire Safety 2020-01-16 2020-02-17 N
Establish policies and procedures for medical documentation. Fire Safety 2020-01-16 2020-02-17 N
Establish staff and initial training requirements. Fire Safety 2020-01-16 2020-02-17 N

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