Deficiency Records for Aperion Care Westchester
Updated as of February 01, 2020
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? |
|---|---|---|---|---|
| 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 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 |
| Be properly staffed | 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 ne | 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 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-05-16 | 2018-05-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-23 | 2018-05-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-23 | 2018-05-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-04-23 | 2018-05-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-23 | 2018-05-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-23 | 2018-05-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-23 | 2018-05-08 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-10-27 | 2017-11-13 | Y |
| 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 |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-19 | 2017-06-30 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2017-04-06 | 2017-05-05 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-06 | 2017-05-05 | Y |
