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Deficiency Records for Westpark Rehabilitation and Living
A list of the most recent deficiencies for Westpark Rehabilitation and Living. 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 Westpark Rehabilitation and Living. 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? |
---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-09 | 2024-08-10 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-08-09 | 2024-08-10 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-11 | 2024-01-12 | Y |
Provide and implement an infection prevention and control program. | Health | 2024-01-11 | 2024-01-12 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-25 | 2023-12-07 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-10-25 | 2023-11-17 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-19 | 2023-11-03 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-19 | 2023-11-03 | 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 | 2023-10-19 | 2023-11-03 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-19 | 2023-11-03 | N |
Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-11-03 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-26 | 2023-09-28 | Y |
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 | 2023-09-26 | 2023-09-28 | Y |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-09-01 | 2023-09-25 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-06 | 2023-07-31 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-12 | 2023-06-05 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-12 | 2023-05-13 | Y |
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-05-12 | 2023-05-13 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-22 | 2023-03-17 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-02-22 | 2023-03-17 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-22 | 2023-03-17 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-05 | 2023-02-10 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2022-12-30 | 2022-12-31 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-11-14 | 2022-11-15 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-14 | 2022-11-15 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-14 | 2022-11-15 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-14 | 2022-11-15 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-14 | 2022-11-15 | Y |
Respond appropriately to all alleged violations. | Health | 2022-11-14 | 2022-11-15 | Y |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-11-14 | 2022-11-15 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-11-14 | 2022-11-15 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-14 | 2022-11-15 | Y |
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 | 2022-08-25 | 2022-09-30 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-25 | 2022-09-30 | N |
Provide and implement an infection prevention and control program. | Health | 2022-08-25 | 2022-09-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-24 | 2022-09-30 | 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 | 2022-08-25 | 2022-09-23 | N |
Provide and implement an infection prevention and control program. | Health | 2021-06-10 | 2021-07-19 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-06-09 | 2021-07-19 | 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 | 2021-06-10 | 2021-07-09 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-10 | 2021-07-09 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-10 | 2021-07-09 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-10 | 2021-07-02 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-10 | 2021-07-02 | N |
Provide properly protected cooking facilities. | Fire Safety | 2021-06-09 | 2021-06-17 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-09 | 2021-06-17 | 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 | 2021-06-09 | 2021-06-10 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-09 | 2021-06-10 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-09 | 2021-06-10 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-09 | 2021-06-10 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-25 | Not Fixed | N |
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