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Deficiency Records for Westminster Village
View the most recent health deficiencies and inspection results for Westminster Village. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Westminster Village. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-23 | 2026-05-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-03-31 | 2026-04-13 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-10 | 2024-05-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-10 | 2024-05-20 | 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 | 2024-04-10 | 2024-05-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-10 | 2024-05-15 | 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 | 2024-04-10 | 2024-04-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-10 | 2024-04-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-10 | 2024-04-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-10 | 2024-04-29 | 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 | 2024-04-10 | 2024-04-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-10 | 2024-04-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-10 | 2024-04-29 | 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 | 2024-04-10 | 2024-04-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-10 | 2024-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-10 | 2024-04-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-10 | 2024-04-29 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-04-10 | 2024-04-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-26 | 2024-04-29 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-04-10 | 2024-04-29 | N |
| Respond appropriately to all alleged violations. | Health | 2024-04-10 | 2024-04-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-23 | 2023-07-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-23 | 2023-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-23 | 2023-07-11 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-06-23 | 2023-07-10 | 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 | 2023-06-23 | 2023-07-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-06-23 | 2023-07-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-23 | 2023-07-07 | 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 | 2023-06-23 | 2023-07-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-23 | 2023-07-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-23 | 2023-07-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-23 | 2023-07-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-23 | 2023-07-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-23 | 2023-07-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-07 | 2023-06-19 | 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 | 2023-06-07 | 2023-06-19 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-14 | 2022-11-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-14 | 2022-11-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-14 | 2022-11-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-14 | 2022-11-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-14 | 2022-10-27 | 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 | 2022-10-14 | 2022-10-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-14 | 2022-10-21 | N |