A list of the most recent deficiencies for York Healthcare and Wellness Centre. 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? |
|---|---|---|---|---|
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-01-31 | 2024-02-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-12-07 | 2024-01-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-07 | 2024-01-31 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-29 | 2024-01-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-29 | 2024-01-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-07 | 2023-12-29 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-12-07 | 2023-12-29 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-04-25 | 2023-04-30 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-08-17 | 2022-09-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-11 | 2022-04-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-11 | 2022-04-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-11 | 2022-04-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-11 | 2022-04-11 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-03-11 | 2022-04-11 | N |
| Post nurse staffing information every day. | Health | 2022-03-11 | 2022-04-11 | 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 | 2022-03-11 | 2022-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-11 | 2022-04-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-03-11 | 2022-04-11 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-03-11 | 2022-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-18 | 2021-12-16 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-25 | 2019-06-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-25 | 2019-06-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-25 | 2019-06-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-25 | 2019-06-05 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-04-25 | 2019-05-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-25 | 2019-05-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-25 | 2019-05-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-25 | 2019-05-30 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-04-25 | 2019-05-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-25 | 2019-05-30 | N |
| 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 | 2019-04-25 | 2019-05-30 | 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 | 2019-04-25 | 2019-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-25 | 2019-05-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-04-25 | 2019-05-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-25 | 2019-05-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-05-08 | 2018-06-08 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-05-08 | 2018-06-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-05-08 | 2018-06-08 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-05-08 | 2018-06-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-08 | 2018-06-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-14 | 2018-06-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-14 | 2018-06-04 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-05-14 | 2018-06-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-14 | 2018-06-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-14 | 2018-06-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-14 | 2018-06-04 | N |
| 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 | 2018-05-14 | 2018-06-04 | 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 | 2018-05-14 | 2018-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-14 | 2018-06-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-14 | 2018-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-14 | 2018-06-04 | N |
| Keep all essential equipment working safely. | Health | 2018-05-14 | 2018-06-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-05-14 | 2018-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-29 | Not Fixed | Y |
