Deficiency Records for Westgate Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Westgate 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-30 | 2023-11-29 | Y |
| 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 | 2023-01-12 | 2023-02-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-12 | 2023-02-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-12 | 2023-02-12 | N |
| 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 | 2023-01-12 | 2023-02-12 | 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 | 2023-01-12 | 2023-02-12 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-01-12 | 2023-02-12 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-01-12 | 2023-02-12 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-01-12 | 2023-02-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-12 | 2023-02-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-18 | 2023-02-12 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-10-26 | 2022-11-25 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-10-26 | 2022-11-25 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-26 | 2022-11-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-16 | 2022-07-16 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-12-01 | 2022-01-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-01 | 2022-01-01 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-12-01 | 2022-01-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-20 | 2021-11-20 | N |
| 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 | 2021-10-20 | 2021-11-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-20 | 2021-11-20 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-10-20 | 2021-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-29 | 2021-10-28 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-29 | 2021-10-28 | Y |
| 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 | 2021-09-03 | 2021-10-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-17 | 2021-07-17 | 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 | 2021-06-17 | 2021-07-17 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-17 | 2021-07-17 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-17 | 2021-07-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-17 | 2021-07-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-03-05 | 2020-04-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-05 | 2020-04-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-03-05 | 2020-04-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-05 | 2020-04-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-05 | 2020-04-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-03-03 | 2020-04-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-03-03 | 2020-04-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-03 | 2020-04-03 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2020-03-03 | 2020-04-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-03 | 2020-04-03 | N |
