CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Culver West Health Center
View the most recent health deficiencies and inspection results for Culver West Health Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Culver West Health Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-04-02 | 2026-04-16 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2026-04-02 | 2026-04-16 | Y |
| 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 | 2026-03-18 | 2026-03-27 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2026-01-08 | 2026-01-22 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-05-20 | 2025-05-30 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-05-02 | 2025-05-29 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2025-05-02 | 2025-05-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-02 | 2025-05-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-02 | 2025-05-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-05-02 | 2025-05-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-02 | 2025-05-29 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2025-05-02 | 2025-05-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-05-02 | 2025-05-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-02 | 2025-05-29 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2025-05-02 | 2025-05-29 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-05-02 | 2025-05-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-02 | 2025-05-29 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-05-02 | 2025-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-02 | 2025-05-23 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-05-02 | 2025-05-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-02 | 2025-05-23 | 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 | 2025-05-02 | 2025-05-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-05-02 | 2025-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-02 | 2025-05-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-05-02 | 2025-05-23 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-05-02 | 2025-05-23 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-05-02 | 2025-05-23 | 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 | 2025-05-02 | 2025-05-20 | N |
| Keep all essential equipment working safely. | Health | 2025-01-20 | 2025-02-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-18 | 2024-10-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-18 | 2024-08-05 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-19 | 2024-05-30 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-04-19 | 2024-05-30 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-04-19 | 2024-05-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-04-19 | 2024-05-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-19 | 2024-05-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-19 | 2024-05-30 | 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 | 2024-04-19 | 2024-05-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-19 | 2024-05-30 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-04-19 | 2024-05-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-19 | 2024-05-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-04-19 | 2024-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-19 | 2024-05-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-04-19 | 2024-05-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-19 | 2024-05-30 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-04-19 | 2024-05-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-19 | 2024-05-30 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-04-19 | 2024-05-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-19 | 2024-05-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-07 | 2024-05-29 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-04-19 | 2024-05-13 | 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 | 2024-04-19 | 2024-05-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-19 | 2024-05-13 | 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 | 2024-04-19 | 2024-05-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-04-19 | 2024-05-13 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-04-19 | 2024-05-13 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-04-19 | 2024-05-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-19 | 2024-05-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-19 | 2024-05-13 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-15 | 2024-04-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-29 | 2024-02-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-29 | 2024-02-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-27 | 2024-01-11 | 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 | 2023-12-27 | 2024-01-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-27 | 2024-01-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-27 | 2024-01-11 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-09-15 | 2023-10-30 | Y |
| 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 | 2023-09-15 | 2023-10-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-15 | 2023-10-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-15 | 2023-10-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-15 | 2023-10-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-15 | 2023-10-30 | Y |
| 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 | 2023-09-20 | 2023-10-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-28 | 2021-12-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-28 | 2021-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-28 | 2021-12-01 | 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 | 2021-10-28 | 2021-12-01 | 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 | 2021-10-28 | 2021-12-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-28 | 2021-12-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-28 | 2021-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-28 | 2021-12-01 | 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 | 2021-10-28 | 2021-12-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-10-28 | 2021-12-01 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-10-28 | 2021-12-01 | 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 | 2021-10-28 | 2021-12-01 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-10-28 | 2021-12-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-28 | 2021-12-01 | 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 | 2021-10-28 | 2021-12-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-28 | 2021-12-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-28 | 2021-12-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-28 | 2021-11-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-10-28 | 2021-11-24 | 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 | 2021-10-28 | 2021-11-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-28 | 2021-11-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-28 | 2021-11-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-28 | 2021-11-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-28 | 2021-11-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-28 | 2021-11-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-28 | 2021-11-24 | N |