Deficiency Records for The Blossoms at West Dixon Rehab and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for The Blossoms at West Dixon Rehab 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? |
|---|---|---|---|---|
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-08-28 | 2023-10-02 | 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 | 2023-09-01 | 2023-09-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-01 | 2023-09-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-01 | 2023-09-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-01 | 2023-09-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-01 | 2023-09-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-01 | 2023-09-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-01 | 2023-09-26 | 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 | 2023-09-01 | 2023-09-26 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-09-01 | 2023-09-26 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-09-01 | 2023-09-26 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-09-01 | 2023-09-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-01 | 2023-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-01 | 2023-09-26 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-09-01 | 2023-09-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-01 | 2023-09-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-27 | 2023-08-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-27 | 2023-08-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-27 | 2023-08-17 | Y |
| 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 | 2023-04-05 | 2023-04-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-05 | 2023-04-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-26 | 2022-06-17 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-05-26 | 2022-06-17 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-05-26 | 2022-06-17 | 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 | 2022-05-26 | 2022-06-17 | 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 | 2022-05-26 | 2022-06-17 | 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 | 2022-05-26 | 2022-06-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-26 | 2022-06-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-05-26 | 2022-06-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-26 | 2022-06-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-26 | 2022-06-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-26 | 2022-06-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-26 | 2022-06-17 | N |
| Provide or obtain dental services for each resident. | Health | 2022-05-26 | 2022-06-17 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-05-26 | 2022-06-17 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-05-26 | 2022-06-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-26 | 2022-06-17 | N |
| Dispose of garbage and refuse properly. | Health | 2022-05-26 | 2022-06-17 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-26 | 2022-06-17 | 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 | 2022-05-24 | 2022-06-17 | 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 | 2022-05-24 | 2022-06-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-24 | 2022-06-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-05-24 | 2022-06-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-24 | 2022-06-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-24 | 2022-06-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-24 | 2022-06-17 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-05-26 | 2022-05-26 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-01-27 | 2022-02-17 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-01-27 | 2022-02-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-27 | 2022-02-17 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-16 | 2021-08-13 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-07-16 | 2021-08-13 | 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 | 2021-03-30 | 2021-05-05 | 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 | 2021-04-02 | 2021-05-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-02 | 2021-05-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-02 | 2021-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-02 | 2021-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-02 | 2021-05-02 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-03-30 | 2021-05-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-02 | 2021-04-02 | N |
