A list of the most recent deficiencies for Wedgewood Healthcare 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-20 | 2022-12-29 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-12-07 | 2022-12-29 | 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 | 2022-10-20 | 2022-11-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-20 | 2022-11-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-20 | 2022-11-20 | N |
| Provide activities to meet all resident's needs. | Health | 2022-10-20 | 2022-11-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-20 | 2022-11-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-20 | 2022-11-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-20 | 2022-11-20 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-10-20 | 2022-11-20 | 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 | 2022-10-20 | 2022-11-20 | 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 | 2022-08-09 | 2022-08-31 | Y |
| Post nurse staffing information every day. | Health | 2022-08-09 | 2022-08-31 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-22 | 2021-05-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-23 | 2021-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-23 | 2021-05-02 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-04-23 | 2021-05-02 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-03-05 | 2021-04-01 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-03-05 | 2021-04-01 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-03-05 | 2021-04-01 | Y |
| 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 | 2021-03-05 | 2021-04-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-05 | 2021-04-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-30 | 2019-06-28 | 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 | 2019-05-30 | 2019-06-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-30 | 2019-06-28 | 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 | 2019-05-30 | 2019-06-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-30 | 2019-06-28 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2019-05-30 | 2019-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-30 | 2019-06-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-05-30 | 2019-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-14 | 2019-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-14 | 2019-06-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-14 | 2019-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-14 | 2019-06-28 | N |
