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Deficiency Records for West Shore Post Acute
View the most recent health deficiencies and inspection results for West Shore Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for West Shore Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-02 | 2025-05-19 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-05-02 | 2025-05-19 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-05-02 | 2025-05-19 | N |
| Provide activities to meet all resident's needs. | Health | 2025-05-02 | 2025-05-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-02 | 2025-05-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-02 | 2025-05-19 | 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 | 2025-05-02 | 2025-05-19 | 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 | 2025-05-02 | 2025-05-19 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2025-05-02 | 2025-05-19 | 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 | 2025-05-19 | 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 | 2025-05-19 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2025-05-02 | 2025-05-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-02 | 2025-05-19 | N |
| Keep all essential equipment working safely. | Health | 2025-05-02 | 2025-05-19 | 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 | 2025-05-02 | 2025-05-19 | 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 | 2025-05-02 | 2025-05-19 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-02 | 2025-05-19 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-05-02 | 2025-05-19 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2025-05-02 | 2025-05-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-05-02 | 2025-05-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-05-02 | 2025-05-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-05-02 | 2025-05-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-05-02 | 2025-05-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-02 | 2025-05-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-05-02 | 2025-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-02 | 2025-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-02 | 2025-05-15 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-05-02 | 2025-05-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-08 | 2025-05-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-03 | 2025-04-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-13 | 2025-03-10 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2024-10-15 | 2024-10-31 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-10-15 | 2024-10-31 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-08-30 | 2024-09-26 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-08-30 | 2024-09-26 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-30 | 2024-09-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-23 | 2024-09-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-23 | 2024-09-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-15 | 2024-06-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-10 | 2023-10-03 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-08-10 | 2023-10-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-10 | 2023-10-03 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-08-10 | 2023-10-03 | 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 | 2023-08-10 | 2023-10-03 | 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 | 2023-08-10 | 2023-10-03 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-08-10 | 2023-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-10 | 2023-10-03 | N |
| Dispose of garbage and refuse properly. | Health | 2023-08-10 | 2023-10-03 | N |
| Keep all essential equipment working safely. | Health | 2023-08-10 | 2023-10-03 | N |
| Respond appropriately to all alleged violations. | Health | 2023-08-10 | 2023-10-03 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-10 | 2023-09-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-10 | 2023-09-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-08-10 | 2023-09-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-10 | 2023-09-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-10 | 2023-09-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-10 | 2023-09-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-10 | 2023-09-07 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-08-10 | 2023-09-07 | 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 | 2023-08-10 | 2023-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-10 | 2023-09-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-10 | 2023-09-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-02 | 2023-08-28 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-11-22 | 2020-01-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-11-22 | 2020-01-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-11-22 | 2020-01-29 | N |
| Use approved construction type or materials. | Fire Safety | 2019-11-22 | 2020-01-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-22 | 2020-01-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-22 | 2020-01-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-22 | 2020-01-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-22 | 2020-01-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-22 | 2020-01-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-22 | 2019-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-22 | 2019-12-22 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2019-11-22 | 2019-12-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-22 | 2019-12-22 | 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 | 2019-11-22 | 2019-12-22 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-11-22 | 2019-12-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-22 | 2019-12-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-22 | 2019-12-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-22 | 2019-12-22 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-11-22 | 2019-12-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-22 | 2019-12-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-22 | 2019-12-22 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-11-22 | 2019-12-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-11-22 | 2019-12-22 | 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 | 2019-11-22 | 2019-12-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-22 | 2019-12-22 | N |