Deficiency Records for Walbridge Memorial Convalescent Wing
Updated as of March 01, 2024
A list of the most recent deficiencies for Walbridge Memorial Convalescent Wing. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-14 | 2024-01-12 | N |
| Provide activities to meet all resident's needs. | Health | 2023-12-14 | 2024-01-12 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-12-14 | 2024-01-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-12-14 | 2024-01-12 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-12-14 | 2024-01-12 | 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 | 2023-12-14 | 2024-01-12 | 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 | 2023-12-14 | 2024-01-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-14 | 2024-01-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-12-14 | 2024-01-12 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2022-09-20 | 2022-11-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-20 | 2022-11-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-25 | 2022-09-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-25 | 2022-09-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-25 | 2022-09-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-25 | 2022-09-23 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-08-25 | 2022-09-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-25 | 2022-09-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-22 | 2021-07-05 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2021-06-22 | 2021-07-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-27 | 2021-06-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-27 | 2021-06-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-27 | 2021-06-25 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-05-27 | 2021-06-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-19 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-19 | Not Fixed | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2024-02-19 | Not Fixed | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2024-02-19 | Not Fixed | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-19 | Not Fixed | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-19 | Not Fixed | N |
