A list of the most recent deficiencies for Wheatridge Manor Care Center. 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 heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-15 | 2024-01-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-15 | 2023-12-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-15 | 2023-12-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-15 | 2023-12-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-15 | 2023-12-08 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-19 | 2023-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-15 | 2023-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-19 | 2023-11-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-19 | 2023-11-10 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-10-19 | 2023-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-11-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-19 | 2023-11-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-10 | 2023-05-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-02 | 2023-02-25 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-02 | 2023-02-25 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-04 | 2022-09-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-04 | 2022-09-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-04 | 2022-09-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-04 | 2022-09-05 | 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 | 2022-08-04 | 2022-08-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-04 | 2022-08-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-04 | 2022-08-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-04 | 2022-08-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-04 | 2022-08-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-04 | 2022-08-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-04 | 2022-08-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-12 | 2022-08-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-12 | 2022-08-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-12 | 2022-08-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-07-12 | 2022-08-05 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-07-12 | 2022-08-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-08-04 | 2022-08-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-15 | 2021-06-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-05-06 | 2021-06-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-06 | 2021-06-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-06 | 2021-05-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-06 | 2021-05-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-06 | 2021-05-13 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-04-15 | 2021-05-12 | 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 | 2021-04-15 | 2021-05-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-15 | 2021-05-12 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-04-15 | 2021-05-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-04-15 | 2021-05-07 | 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 | 2021-04-15 | 2021-05-07 | 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 | 2021-04-15 | 2021-05-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-06 | 2021-05-07 | N |
