A list of the most recent deficiencies for Westminster Village. 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 approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-27 | 2023-07-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-27 | 2023-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-27 | 2023-07-11 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-06-27 | 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 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | 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 |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | 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 |
| Provide and implement an infection prevention and control program. | Health | 2023-06-23 | 2023-07-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-06-27 | 2023-07-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-27 | 2023-07-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-27 | 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 | 2022-10-19 | 2022-11-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-19 | 2022-11-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-19 | 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 | 2022-10-19 | 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 |
| 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 | 2021-12-09 | 2022-01-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-09 | 2021-12-21 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2021-12-09 | 2021-12-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-09 | 2021-12-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-12-09 | 2021-12-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-09 | 2021-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-09 | 2021-12-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-09 | 2021-12-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-22 | 2021-05-17 | Y |
