A list of the most recent deficiencies for Life Care Center of Westminster. 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 properly protected cooking facilities. | Fire Safety | 2023-09-12 | 2023-10-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-09-12 | 2023-10-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-12 | 2023-10-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-12 | 2023-10-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-12 | 2023-10-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-12 | 2023-10-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-17 | 2023-09-27 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-08-17 | 2023-09-27 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-08-17 | 2023-09-27 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-08-17 | 2023-09-27 | 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 | 2023-08-17 | 2023-09-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-09-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-17 | 2023-09-27 | 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 | 2023-08-17 | 2023-09-27 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-06-09 | 2022-06-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-09 | 2022-06-22 | 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 | 2022-06-09 | 2022-06-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-09 | 2022-06-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-09 | 2022-06-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-09 | 2022-06-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-09 | 2022-06-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-09 | 2022-06-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-12 | 2022-06-10 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-05-12 | 2022-06-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-12 | 2022-06-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-12 | 2022-06-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-12 | 2022-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-12 | 2022-06-10 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-12 | 2022-06-10 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-12 | 2022-06-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-14 | 2021-11-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-08 | 2021-07-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-08 | 2021-07-08 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-28 | 2021-06-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-04-28 | 2021-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-28 | 2021-05-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-28 | 2021-05-17 | 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 | 2021-04-28 | 2021-05-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-04-28 | 2021-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-28 | 2021-05-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-28 | 2021-05-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-28 | 2021-05-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-04-28 | 2021-05-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-04-06 | 2021-05-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-06 | 2021-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-06 | 2021-05-10 | 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 | 2021-04-06 | 2021-05-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-04-06 | 2021-05-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-06 | 2021-05-10 | 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 | 2021-04-06 | 2021-05-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-06 | 2021-05-10 | N |
