Deficiency Records for West Haven Healthcare
Updated as of November 01, 2019
This is not the most recent data for West Haven Healthcare. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 | 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 ne | 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 |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-01 | 2018-09-28 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-09-01 | 2018-09-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-01 | 2018-09-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-09-01 | 2018-09-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-09-01 | 2018-09-28 | 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 | 2018-09-01 | 2018-09-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-01 | 2018-09-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-01 | 2018-09-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-09-01 | 2018-09-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-31 | 2018-09-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-08-31 | 2018-09-27 | 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 | 2018-08-31 | 2018-09-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-31 | 2018-09-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-31 | 2018-09-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-31 | 2018-09-27 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-08-31 | 2018-09-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-08-31 | 2018-09-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-31 | 2018-09-27 | 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 | 2018-08-31 | 2018-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-31 | 2018-09-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-25 | 2018-02-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-25 | 2018-02-13 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-19 | 2018-02-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-19 | 2018-02-13 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-27 | 2017-09-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-27 | 2017-09-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-27 | 2017-09-25 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-27 | 2017-09-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-27 | 2017-09-25 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-08-27 | 2017-09-25 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-27 | 2017-09-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-27 | 2017-09-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-27 | 2017-09-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-27 | 2017-09-25 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-08-27 | 2017-09-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-08-27 | 2017-09-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-08-27 | 2017-09-14 | N |
