A list of the most recent deficiencies for Wheaton Village Nrsg and Rhb Ctr. 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 | 2023-11-08 | 2024-04-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-08 | 2024-01-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-26 | 2024-01-13 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-11-08 | 2023-12-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-08 | 2023-12-05 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-11-08 | 2023-11-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-11-08 | 2023-11-23 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-11-08 | 2023-11-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-08 | 2023-11-23 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-11-08 | 2023-11-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-08 | 2023-11-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-08 | 2023-11-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-08 | 2023-11-23 | 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 | 2023-11-02 | 2023-11-20 | 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 | 2023-11-02 | 2023-11-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2023-11-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-02 | 2023-11-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-02 | 2023-11-20 | N |
| 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 | 2023-11-02 | 2023-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-02 | 2023-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2023-11-20 | N |
| Ensure each resident has a room at or above ground level. | Health | 2023-11-02 | 2023-11-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-11-02 | 2023-11-20 | 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 | 2023-11-08 | 2023-11-17 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-05-08 | 2023-05-22 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-02-23 | 2023-03-10 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-16 | 2022-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-16 | 2022-12-09 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-11-16 | 2022-12-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-16 | 2022-12-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-16 | 2022-12-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-11-16 | 2022-11-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-16 | 2022-11-22 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-11-16 | 2022-11-19 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-11-16 | 2022-11-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-16 | 2022-11-18 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-11-16 | 2022-11-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-16 | 2022-11-17 | 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 | 2022-11-16 | 2022-11-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-16 | 2022-11-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-16 | 2022-11-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-03 | 2022-11-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-03 | 2022-11-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-03 | 2022-11-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-11-03 | 2022-11-04 | N |
| Ensure each resident has a room at or above ground level. | Health | 2022-11-03 | 2022-11-04 | N |
| 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 | 2022-08-29 | 2022-09-16 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-08-29 | 2022-09-16 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-07-08 | 2022-07-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-11 | 2022-03-25 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-04 | 2021-09-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-04 | 2021-08-20 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-08-04 | 2021-08-20 | 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 | 2021-08-04 | 2021-08-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-04 | 2021-08-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-04 | 2021-08-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-04 | 2021-08-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-04 | 2021-08-20 | 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 | 2021-07-23 | 2021-08-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-23 | 2021-08-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-23 | 2021-08-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-23 | 2021-08-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-23 | 2021-08-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-23 | 2021-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-23 | 2021-08-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-23 | 2021-08-11 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-07-23 | 2021-08-11 | N |
| Ensure each resident has a room at or above ground level. | Health | 2021-07-23 | 2021-08-11 | N |
| Respond appropriately to all alleged violations. | Health | 2021-03-19 | 2021-03-31 | Y |
