A list of the most recent deficiencies for Westwood Post Acute. 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 corridor and hallway doors that block smoke. | Fire Safety | 2023-10-17 | 2024-01-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-17 | 2024-01-31 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-10-17 | 2024-01-31 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-10-17 | 2023-12-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-17 | 2023-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-17 | 2023-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-17 | 2023-11-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-10-17 | 2023-11-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-17 | 2023-11-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-10-17 | 2023-11-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-10-17 | 2023-11-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-17 | 2023-11-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-17 | 2023-10-31 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-09-28 | 2023-10-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-28 | 2023-10-21 | 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 | 2023-09-28 | 2023-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-28 | 2023-10-21 | 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 | 2023-09-28 | 2023-10-21 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-17 | 2023-10-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-11 | 2022-04-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-11 | 2022-04-11 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-11 | 2022-04-11 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-01-11 | 2022-03-02 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-08-25 | 2020-09-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-08-25 | 2020-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-08-25 | 2020-08-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-04-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-27 | 2020-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-04-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-27 | 2020-03-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-27 | 2020-03-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-27 | 2020-03-27 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-27 | 2020-03-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-07 | 2019-03-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-02-21 | 2019-03-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-02-07 | 2019-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-03-11 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-02-07 | 2019-03-08 | N |
| Provide or obtain dental services for each resident. | Health | 2019-02-07 | 2019-03-08 | N |
