A list of the most recent deficiencies for Westmont Manor Hlth and Rhb. 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? |
|---|---|---|---|---|
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-29 | 2024-01-12 | Y |
| 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 | 2023-12-14 | 2023-12-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-14 | 2023-12-27 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-13 | 2023-09-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-03 | 2023-08-18 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-03 | 2023-08-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-03 | 2023-08-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-31 | 2023-04-17 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-28 | 2023-04-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-03-28 | 2023-04-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-28 | 2023-04-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-28 | 2023-04-10 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-03-28 | 2023-04-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-28 | 2023-04-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-15 | 2023-03-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-15 | 2023-03-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-15 | 2023-03-28 | 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 | 2023-03-15 | 2023-03-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-15 | 2023-03-28 | 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 | 2023-03-15 | 2023-03-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-15 | 2023-03-28 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-15 | 2023-03-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-15 | 2023-03-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-15 | 2023-03-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-15 | 2023-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-15 | 2023-03-28 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-03-15 | 2023-03-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-21 | 2023-03-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-23 | 2022-11-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-04-13 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-02-09 | 2022-03-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-09 | 2022-03-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-02-09 | 2022-03-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-02-09 | 2022-03-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-09 | 2022-03-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-09 | 2022-03-01 | 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 | 2022-02-05 | 2022-02-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-05 | 2022-02-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-05 | 2022-02-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-05 | 2022-02-17 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-02-05 | 2022-02-17 | N |
| 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 | 2022-02-05 | 2022-02-17 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-02-05 | 2022-02-17 | 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 | 2022-02-05 | 2022-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-05 | 2022-02-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-29 | 2022-02-17 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-12-23 | 2022-01-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-23 | 2022-01-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-27 | 2021-11-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-16 | 2021-06-18 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-16 | 2021-06-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-16 | 2021-06-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-16 | 2021-06-18 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-06-16 | 2021-06-18 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-04 | 2021-06-06 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-04-14 | 2021-04-15 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-04-14 | 2021-04-15 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-04-14 | 2021-04-15 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-04-14 | 2021-04-15 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-04-14 | 2021-04-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-04-14 | 2021-04-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-14 | 2021-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-14 | 2021-04-15 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-04-14 | 2021-04-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-03-18 | 2021-04-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-18 | 2021-04-07 | 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 | 2021-03-18 | 2021-04-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-03-18 | 2021-03-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-18 | 2021-03-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-18 | 2021-03-29 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-03-18 | 2021-03-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-18 | 2021-03-21 | 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 | 2021-03-18 | 2021-03-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-18 | 2021-03-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-03-18 | 2021-03-19 | N |
| 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 | 2021-03-18 | 2021-03-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-03-18 | 2021-03-19 | N |
