Deficiency Records for Aperion Care Westchester
Updated as of August 01, 2021
This is not the most recent data for Aperion Care Westchester. For the most recent information, click here.
A list of the most recent deficiencies for Aperion Care Westchester. 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? |
---|---|---|---|---|
Respond appropriately to all alleged violations. | Health | 2021-06-17 | 2021-07-12 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-17 | 2021-07-12 | Y |
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2021-06-17 | 2021-07-12 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-01-07 | 2021-01-21 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-11-16 | 2020-12-16 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-11-04 | 2020-12-16 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-11-04 | 2020-12-16 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-07-24 | 2020-08-21 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-07-24 | 2020-08-21 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-08-18 | 2020-08-19 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-05-21 | 2020-06-05 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-03-17 | 2020-04-24 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-17 | 2020-04-24 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-17 | 2020-04-24 | 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 | 2020-03-17 | 2020-04-24 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2020-03-17 | 2020-04-24 | Y |
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 | 2020-03-17 | 2020-04-24 | 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 | 2020-03-17 | 2020-04-24 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-03-17 | 2020-04-24 | Y |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-03-17 | 2020-04-24 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-08 | 2020-01-08 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-12 | 2020-01-08 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-26 | 2019-12-13 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-26 | 2019-12-13 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-25 | 2019-11-26 | Y |
Ensure that residents are free from significant medication errors. | Health | 2019-10-03 | 2019-10-23 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-09-13 | 2019-09-26 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-29 | 2019-09-12 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-06-26 | 2019-08-26 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-06-26 | 2019-08-26 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-26 | 2019-08-26 | 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 | 2019-06-26 | 2019-08-26 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-26 | 2019-08-26 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-26 | 2019-08-26 | N |
Provide and implement an infection prevention and control program. | Health | 2019-06-26 | 2019-08-26 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-26 | 2019-08-26 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-26 | 2019-08-26 | Y |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-06-26 | 2019-08-26 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-26 | 2019-08-26 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-26 | 2019-08-26 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-26 | 2019-08-26 | 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 | 2019-06-26 | 2019-08-26 | Y |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-26 | 2019-08-16 | 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 | 2019-06-26 | 2019-08-16 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-06-26 | 2019-08-16 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-26 | 2019-08-16 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-26 | 2019-08-16 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-26 | 2019-08-16 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-26 | 2019-08-16 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-06-26 | 2019-08-16 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-26 | 2019-08-16 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-06-26 | 2019-08-16 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-26 | 2019-08-16 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-26 | 2019-08-16 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-31 | 2019-08-16 | Y |
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 | 2019-04-30 | 2019-06-03 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-03-08 | 2019-04-29 | Y |
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2018-10-30 | 2018-11-30 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-30 | 2018-11-30 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-30 | 2018-11-30 | Y |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-08-21 | 2018-09-30 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2018-08-21 | 2018-09-30 | 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 | 2018-08-21 | 2018-09-30 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-08-21 | 2018-09-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-21 | 2018-09-30 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-21 | 2018-09-30 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2018-08-21 | 2018-09-30 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-21 | 2018-09-30 | N |
Have proper power supply for life support equipment. | Fire Safety | 2018-08-21 | 2018-09-30 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-21 | 2018-09-30 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-21 | 2018-09-30 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-17 | 2018-09-18 | N |
Keep residents' personal and medical records private and confidential. | Health | 2018-08-17 | 2018-09-18 | N |
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-08-17 | 2018-09-18 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-17 | 2018-09-18 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-08-17 | 2018-09-18 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-08-17 | 2018-09-18 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-17 | 2018-09-18 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-17 | 2018-09-18 | 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 | 2018-08-17 | 2018-09-18 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-17 | 2018-09-18 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-08-17 | 2018-09-18 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-17 | 2018-09-18 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-17 | 2018-09-18 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-17 | 2018-09-18 | 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 | 2018-08-17 | 2018-09-18 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-17 | 2018-09-18 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-08-17 | 2018-09-18 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-08-17 | 2018-09-18 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-17 | 2018-09-18 | 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 | 2018-08-17 | 2018-09-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-17 | 2018-09-18 | N |
Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-08-17 | 2018-09-18 | N |
Provide and implement an infection prevention and control program. | Health | 2018-08-17 | 2018-09-18 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-21 | 2018-09-04 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-06-21 | 2017-07-26 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-06-21 | 2017-07-26 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2017-06-21 | 2017-07-26 | N |
Have proper power supply for life support equipment. | Fire Safety | 2017-06-21 | 2017-07-26 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-06-23 | 2017-07-26 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-23 | 2017-07-26 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-23 | 2017-07-26 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-06-23 | 2017-07-26 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-23 | 2017-07-26 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-23 | 2017-07-26 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-06-23 | 2017-07-26 | N |
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-06-23 | 2017-07-26 | N |
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-06-23 | 2017-07-26 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-23 | 2017-07-26 | N |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-06-23 | 2017-07-26 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-23 | 2017-07-26 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-06-23 | 2017-07-26 | N |
Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-06-23 | 2017-07-26 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-06-23 | 2017-07-26 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-23 | 2017-07-26 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-23 | 2017-07-26 | N |
Keep all essential equipment working safely. | Health | 2017-06-23 | 2017-07-26 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-06-23 | 2017-07-26 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-06-23 | 2017-07-26 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2017-06-21 | 2017-07-13 | 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 | 2017-06-21 | 2017-07-13 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-06-21 | 2017-07-13 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-21 | 2017-07-13 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-06-21 | 2017-07-13 | N |