Deficiency Records for Aperion Care Westchester
Updated as of August 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? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-24 | 2022-04-13 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-24 | 2022-04-13 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-24 | 2022-04-13 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-24 | 2022-04-13 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-24 | 2022-04-13 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-22 | 2022-04-13 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-22 | 2022-04-13 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-22 | 2022-04-13 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-22 | 2022-04-13 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-02-22 | 2022-04-13 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-20 | 2022-04-13 | Y |
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 | 2022-02-22 | 2022-03-14 | 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 | 2022-02-22 | 2022-03-14 | Y |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-02-22 | 2022-03-14 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-30 | 2022-02-18 | Y |
Respond appropriately to all alleged violations. | Health | 2022-01-30 | 2022-02-18 | Y |
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 requirements for the installation and maintenance of electrical systems. | 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 |
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 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-06-26 | 2019-08-26 | N |
Reasonably accommodate the needs and preferences of each resident. | 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 |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-26 | 2019-08-26 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 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 |
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 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-26 | 2019-08-26 | 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 | 2019-06-26 | 2019-08-26 | N |
Provide and implement an infection prevention and control program. | Health | 2019-06-26 | 2019-08-26 | N |
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 requirements for the installation and maintenance of electrical systems. | 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 |
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 |