Deficiency Records for Aperion Care Westchester
Updated as of January 01, 2022
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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-24 | 2021-12-30 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-08-24 | 2021-12-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-14 | 2021-10-28 | 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 | 2021-10-14 | 2021-10-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-14 | 2021-10-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-14 | 2021-10-28 | 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 | 2021-10-14 | 2021-10-28 | 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 | 2021-10-14 | 2021-10-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-10-14 | 2021-10-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-15 | 2021-09-24 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| 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 | 2021-08-24 | 2021-09-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-08-24 | 2021-09-20 | 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 | 2021-08-24 | 2021-09-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2021-08-24 | 2021-09-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-26 | 2021-09-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-26 | 2021-09-16 | 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 | 2021-08-26 | 2021-09-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-08-26 | 2021-09-16 | 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 | 2021-08-26 | 2021-09-16 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-08-26 | 2021-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-26 | 2021-09-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-08-26 | 2021-09-16 | 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 | 2021-08-26 | 2021-09-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-02 | 2021-08-20 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-08-02 | 2021-08-20 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-08-02 | 2021-08-20 | Y |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
