CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Main West Postacute Care
View the most recent health deficiencies and inspection results for Main West Postacute Care. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Main West Postacute Care. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2026-02-04 | 2026-02-26 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-07 | 2025-04-01 | N |
| Dispose of garbage and refuse properly. | Health | 2025-03-07 | 2025-03-28 | 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 | 2025-03-07 | 2025-03-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-03-07 | 2025-03-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2025-03-07 | 2025-03-28 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-03-07 | 2025-03-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-07 | 2025-03-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-03-07 | 2025-03-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-03-07 | 2025-03-28 | 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 | 2025-03-07 | 2025-03-28 | N |
| Provide or obtain dental services for each resident. | Health | 2025-03-07 | 2025-03-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-07 | 2025-03-28 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-03-07 | 2025-03-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-07 | 2025-03-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-07 | 2025-03-28 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-07 | 2025-03-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-03-07 | 2025-03-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-03-07 | 2025-03-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-03-07 | 2025-03-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-03-07 | 2025-03-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-03-07 | 2025-03-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-07 | 2025-03-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-03-07 | 2025-03-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-27 | 2025-02-17 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-23 | 2024-08-24 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-08-23 | 2024-08-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-24 | 2024-06-02 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-05-07 | 2024-05-27 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-24 | 2023-09-26 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-25 | 2023-09-25 | 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 | 2023-08-25 | 2023-09-25 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-25 | 2023-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-25 | 2023-09-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-25 | 2023-09-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-25 | 2023-09-22 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-08-25 | 2023-09-22 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-08-25 | 2023-09-22 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-08-25 | 2023-09-22 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-08-25 | 2023-09-22 | 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 | 2019-12-12 | 2020-02-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-12-12 | 2020-02-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-12-12 | 2020-02-20 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-12-12 | 2020-02-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-12-12 | 2020-02-20 | 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 | 2019-12-12 | 2020-02-20 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-12-12 | 2020-02-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-12 | 2020-02-20 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-12-12 | 2020-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-12 | 2020-02-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-12 | 2020-02-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-12 | 2020-02-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-12 | 2020-02-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-12-12 | 2020-02-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-12-12 | 2020-02-14 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-12-12 | 2020-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-12 | 2020-02-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-12 | 2020-02-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-12 | 2020-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-12 | 2020-02-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-12 | 2020-02-14 | N |