A list of the most recent deficiencies for Budd Terrace at Wesley Woods. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-21 | 2024-01-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-21 | 2024-01-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-01-18 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-21 | 2024-01-18 | Y |
| 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 | 2023-12-21 | 2024-01-18 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-19 | 2024-01-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-19 | 2024-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-19 | 2024-01-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-19 | 2024-01-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-29 | 2023-11-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-29 | 2023-11-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-29 | 2023-11-15 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-29 | 2023-11-15 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-09-29 | 2023-11-15 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-07-22 | 2022-09-28 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-07-22 | 2022-09-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-07-22 | 2022-09-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-22 | 2022-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-22 | 2022-09-28 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-07-22 | 2022-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-22 | 2022-09-28 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-07-22 | 2022-09-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-22 | 2022-09-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-22 | 2022-09-28 | Y |
| 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 | 2022-07-22 | 2022-09-28 | Y |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2022-08-01 | 2022-09-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-01 | 2019-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-04 | 2019-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-01 | 2019-05-17 | N |
