A list of the most recent deficiencies for West Haven Healthcare. 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 residents are fully informed and understand their health status, care and treatments. | Health | 2024-01-19 | 2024-02-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-19 | 2024-02-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-01-19 | 2024-02-19 | 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 | 2024-01-19 | 2024-02-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-19 | 2024-02-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-19 | 2024-02-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-19 | 2024-02-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-19 | 2024-02-19 | 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 | 2024-01-19 | 2024-02-19 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-01-19 | 2024-02-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-19 | 2024-02-19 | N |
| Post nurse staffing information every day. | Health | 2024-01-19 | 2024-02-19 | 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 | 2024-01-19 | 2024-02-19 | 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 | 2024-01-19 | 2024-02-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-19 | 2024-02-19 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2024-01-19 | 2024-02-19 | 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 | 2024-01-19 | 2024-02-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-19 | 2024-02-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-23 | 2024-02-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-23 | 2024-01-23 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-01-23 | 2024-01-23 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-03-17 | 2023-04-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-04 | 2022-03-22 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-02-04 | 2022-03-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-04 | 2022-03-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-04 | 2022-03-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-04 | 2022-03-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-04 | 2022-03-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-04 | 2022-03-22 | 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 | 2022-02-04 | 2022-03-22 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-02-04 | 2022-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-04 | 2022-03-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-04 | 2022-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-04 | 2022-03-22 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-02-08 | 2022-02-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-08 | 2022-02-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-08 | 2022-02-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-08 | 2022-02-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-28 | 2021-06-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-27 | 2021-06-04 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-15 | 2019-09-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-15 | 2019-09-11 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-08-15 | 2019-09-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-15 | 2019-09-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-15 | 2019-09-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-15 | 2019-09-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-08-16 | 2019-09-09 | 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 | 2019-08-16 | 2019-09-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-08-16 | 2019-09-09 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-16 | 2019-09-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-16 | 2019-09-09 | 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 | 2019-08-16 | 2019-09-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-16 | 2019-09-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-16 | 2019-09-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-16 | 2019-09-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-16 | 2019-09-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-16 | 2019-09-09 | 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 | 2019-08-16 | 2019-09-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-16 | 2019-09-09 | 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 | 2019-08-16 | 2019-09-09 | 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 | 2019-08-16 | 2019-09-09 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-08-16 | 2019-09-09 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-08-16 | 2019-09-09 | 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 | 2019-08-16 | 2019-09-09 | 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 | 2019-08-16 | 2019-09-09 | 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 | 2019-08-16 | 2019-09-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-16 | 2019-09-09 | N |
