Deficiency Records for West Melbourne Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for West Melbourne Health and Rehabilitation 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 each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-02-06 | 2024-03-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-06 | 2024-03-06 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-14 | 2024-01-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-14 | 2024-01-15 | 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 | 2023-12-14 | 2024-01-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-14 | 2024-01-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-14 | 2024-01-15 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-12-14 | 2024-01-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-14 | 2024-01-15 | 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 | 2023-12-14 | 2024-01-15 | 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 | 2024-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-14 | 2024-01-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-12 | 2024-01-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-12 | 2024-01-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-12 | 2024-01-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-15 | 2023-07-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-12 | 2023-05-15 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-01-19 | 2023-02-20 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-01-19 | 2023-02-20 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-01-19 | 2023-02-20 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-19 | 2023-02-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-16 | 2022-04-15 | 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 | 2022-03-16 | 2022-04-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-03-16 | 2022-04-15 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-03-16 | 2022-04-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-03-16 | 2022-04-15 | N |
| Provide activities to meet all resident's needs. | Health | 2022-03-16 | 2022-04-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-16 | 2022-04-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-16 | 2022-04-15 | 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 | 2022-03-16 | 2022-04-15 | N |
| Dispose of garbage and refuse properly. | Health | 2022-03-16 | 2022-04-15 | N |
| Keep all essential equipment working safely. | Health | 2022-03-16 | 2022-04-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-03-16 | 2022-04-15 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Respond appropriately to all alleged violations. | Health | 2021-08-26 | 2021-09-26 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-08-26 | 2021-09-26 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-08-26 | 2021-09-26 | Y |
| 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 | 2020-09-19 | 2020-10-19 | 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 | 2020-09-19 | 2020-10-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-09-19 | 2020-10-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-19 | 2020-10-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-17 | 2020-10-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-09-17 | 2020-10-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-09-17 | 2020-10-17 | N |
