Deficiency Records for Westminster Commons
Updated as of September 01, 2019
This is not the most recent data for Westminster Commons. For the most recent information, click here.
A list of the most recent deficiencies for Westminster Commons. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-11-14 | 2018-12-26 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-11-14 | 2018-12-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-11-14 | 2018-12-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-11-14 | 2018-12-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-14 | 2018-12-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-14 | 2018-12-26 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2018-11-14 | 2018-12-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-14 | 2018-12-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-14 | 2018-12-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-14 | 2018-12-26 | N |
| Be properly staffed | Fire Safety | 2018-11-14 | 2018-12-26 | N |
| 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 | 2018-11-17 | 2018-12-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-11-17 | 2018-12-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-17 | 2018-12-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-17 | 2018-12-26 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-11-17 | 2018-12-26 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-11-17 | 2018-12-26 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-11-17 | 2018-12-26 | N |
| 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 | 2017-12-14 | 2018-01-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-12-14 | 2018-01-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-14 | 2018-01-28 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-10-20 | 2016-12-04 | N |
| Portable fire extinguishers. | Fire Safety | 2016-10-20 | 2016-12-04 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-10-20 | 2016-12-04 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-10-20 | 2016-12-04 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-10-20 | 2016-12-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-20 | 2016-12-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-20 | 2016-12-04 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-10-20 | 2016-12-04 | Y |
