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Deficiency Records for Ignite Medical Resort Webster, LLC

A list of the most recent deficiencies for Ignite Medical Resort Webster, LLC. 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 Ignite Medical Resort Webster, LLC. 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?
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-03-22 2023-03-24 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-03-22 2023-03-24 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-03-22 2023-03-24 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-03-22 2023-03-24 N
Ensure medication error rates are not 5 percent or greater. Health 2023-03-22 2023-03-24 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-03-22 2023-03-24 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-03-22 2023-03-24 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2023-03-22 2023-03-24 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2023-03-22 2023-03-24 Y
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-03-14 2023-03-24 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-03-14 2023-03-24 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2023-03-14 2023-03-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-12-29 2022-02-12 N
Provide and implement an infection prevention and control program. Health 2021-12-29 2022-01-31 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-12-29 2022-01-07 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-12-29 2022-01-04 N
Ensure medical gas and vacuum systems have documented maintenance programs. Fire Safety 2021-12-29 2022-01-04 N

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