A list of the most recent deficiencies for Westminster Village North. 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? |
---|---|---|---|---|
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-11 | 2023-04-28 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-11 | 2023-04-24 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-11 | 2023-04-24 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-24 | 2023-04-07 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-24 | 2023-04-07 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-24 | 2023-04-07 | 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 | 2023-03-24 | 2023-04-07 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-24 | 2023-04-07 | 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 | 2023-03-24 | 2023-04-07 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-24 | 2023-04-07 | 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 | 2023-03-24 | 2023-04-07 | N |
Provide or obtain dental services for each resident. | Health | 2023-03-24 | 2023-04-07 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-31 | 2023-02-13 | 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 | 2023-01-31 | 2023-02-13 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-31 | 2023-02-13 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-31 | 2023-02-13 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-03 | 2022-06-10 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-10-13 | 2021-10-29 | N |
Perform COVID19 testing on residents and staff. | Health | 2021-10-13 | 2021-10-29 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-13 | 2021-10-29 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-08-11 | 2021-09-03 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-08-17 | 2020-09-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-08-17 | 2020-09-16 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-08-17 | 2020-09-16 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-08-17 | 2020-09-16 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-03-04 | 2020-03-04 | N |
Respond appropriately to all alleged violations. | Health | 2020-03-04 | 2020-03-04 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-04 | 2020-03-04 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-04 | 2020-03-04 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-04 | 2020-03-04 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2020-03-04 | 2020-03-04 | 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 | 2020-03-04 | 2020-03-04 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-03-04 | 2020-03-04 | 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 | 2020-03-04 | 2020-03-04 | N |
Ensure that residents are free from significant medication errors. | Health | 2020-03-04 | 2020-03-04 | 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 | 2020-03-04 | 2020-03-04 | N |
Provide or obtain dental services for each resident. | Health | 2020-03-04 | 2020-03-04 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-04 | 2020-03-04 | N |
Provide and implement an infection prevention and control program. | Health | 2020-03-04 | 2020-03-04 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-11 | 2019-05-16 | N |
Meet other general requirements that are deficient. | Fire Safety | 2019-04-11 | 2019-05-16 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-11 | 2019-05-16 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-11 | 2019-05-16 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-11 | 2019-05-16 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-13 | 2019-04-12 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-03-13 | 2019-04-12 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-13 | 2019-04-12 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-03-13 | 2019-04-12 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-13 | 2019-04-12 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-13 | 2019-04-12 | N |
Provide activities to meet all resident's needs. | Health | 2019-03-13 | 2019-04-12 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-13 | 2019-04-12 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-03-13 | 2019-04-12 | 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 | 2019-03-13 | 2019-04-12 | 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 | 2019-03-13 | 2019-04-12 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-03-13 | 2019-04-12 | N |
Provide or obtain dental services for each resident. | Health | 2019-03-13 | 2019-04-12 | N |
Dispose of garbage and refuse properly. | Health | 2019-03-13 | 2019-04-12 | N |
Provide and implement an infection prevention and control program. | Health | 2019-03-13 | 2019-04-12 | N |