Deficiency Records for Westside Rehab and Care Center
Updated as of August 01, 2022
This is not the most recent data for Westside Rehab and Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Westside Rehab and Care Center. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-08 | 2022-06-06 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-08 | 2022-06-06 | Y |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-04-08 | 2022-06-06 | 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 | 2022-04-07 | 2022-06-06 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-07 | 2022-06-06 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-04-07 | 2022-06-06 | N |
Provide and implement an infection prevention and control program. | Health | 2022-04-07 | 2022-06-06 | 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 | 2022-04-08 | 2022-05-05 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-08 | 2022-05-05 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-08 | 2022-05-05 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-08 | 2022-05-05 | 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 | 2022-04-08 | 2022-05-05 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-04-08 | 2022-05-05 | Y |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-07 | 2022-05-05 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-07 | 2022-05-05 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-07 | 2022-05-05 | 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 | 2022-04-07 | 2022-05-05 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-07 | 2022-05-05 | N |
Respond appropriately to all alleged violations. | Health | 2022-04-07 | 2022-05-05 | 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 | 2022-04-07 | 2022-05-05 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-07 | 2022-05-05 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-07 | 2022-05-05 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-07 | 2022-05-05 | 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 | 2022-04-07 | 2022-05-05 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-04-07 | 2022-05-05 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-04-07 | 2022-05-05 | 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 | 2022-04-07 | 2022-05-05 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-04-07 | 2022-05-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-07 | 2022-05-05 | N |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-04-07 | 2022-05-05 | N |
Implement a program that monitors antibiotic use. | Health | 2022-04-07 | 2022-05-05 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-04-07 | 2022-05-05 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-29 | 2022-04-28 | N |
Create arrangements with other facilities to receive patients. | Fire Safety | 2022-03-29 | 2022-04-28 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-03-29 | 2022-04-28 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-29 | 2022-04-28 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-29 | 2022-04-28 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-29 | 2022-04-28 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-29 | 2022-04-28 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-25 | 2021-10-28 | Y |
Ensure that residents are free from significant medication errors. | Health | 2021-09-23 | 2021-10-07 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-02-26 | 2021-04-02 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-02-26 | 2021-03-18 | 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 | 2021-02-26 | 2021-03-18 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-02-26 | 2021-03-18 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-02-26 | 2021-03-18 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-02-26 | 2021-03-18 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-02-26 | 2021-03-18 | 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 | 2021-02-26 | 2021-03-18 | N |
Provide and implement an infection prevention and control program. | Health | 2021-02-26 | 2021-03-18 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-02-26 | 2021-03-18 | N |
Install proper backup exit lighting. | Fire Safety | 2021-02-24 | 2021-03-11 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-02-24 | 2021-03-11 | 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 | 2021-02-24 | 2021-03-11 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-24 | 2021-03-11 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-24 | 2021-03-11 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-02-24 | 2021-03-11 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-24 | 2021-03-11 | N |
Have exits that are accessible at all times. | Fire Safety | 2019-04-10 | 2019-04-26 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-10 | 2019-04-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-10 | 2019-04-26 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-10 | 2019-04-26 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-10 | 2019-04-26 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-10 | 2019-04-26 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-10 | 2019-04-26 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-11 | 2019-04-18 | 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 | 2019-04-11 | 2019-04-18 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-04-11 | 2019-04-18 | 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 | 2019-04-11 | 2019-04-18 | N |