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Deficiency Records for Westminster Village North

View the most recent health deficiencies and inspection results for Westminster Village North. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Westminster Village North. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Develop Emergency Preparedness policies and procedures. Fire Safety 2025-11-24 2026-02-18 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2025-11-24 2026-02-18 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2025-11-24 2026-02-18 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2025-11-24 2026-02-18 N
Ensure proper usage of power strips and extension cords. Fire Safety 2025-11-24 2026-02-18 N
Have simulated fire drills held at unexpected times. Fire Safety 2025-11-24 2026-02-18 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2025-11-24 2026-02-18 N
Install corridor and hallway doors that block smoke. Fire Safety 2025-11-24 2026-02-18 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2025-11-24 2026-02-18 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2025-11-24 2026-02-18 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2025-11-24 2026-02-18 N
Develop a communication plan. Fire Safety 2025-11-24 2026-02-18 N
Establish emergency prep training and testing. Fire Safety 2025-11-24 2026-02-18 N
Have horizontal exits used in accordance with safety requirements. Fire Safety 2025-11-24 2026-02-18 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2025-11-24 2026-02-18 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2025-11-24 2026-02-18 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 2025-11-24 2026-02-18 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-11-24 2026-02-18 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-11-24 2026-02-18 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-11-24 2025-12-24 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-11-24 2025-12-24 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-11-24 2025-12-24 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-11-24 2025-12-24 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 2025-11-24 2025-12-24 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2025-11-24 2025-12-24 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-11-24 2025-12-19 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 2025-11-24 2025-12-19 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-08-19 2025-09-18 Y
Provide and implement an infection prevention and control program. Health 2025-08-19 2025-09-18 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-08-19 2025-08-01 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-12-16 2025-01-31 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-12-16 2025-01-31 Y
Ensure each resident receives an accurate assessment. Health 2024-12-16 2025-01-31 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-07-18 2024-10-01 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-07-18 2024-10-01 N
Conduct testing and exercise requirements. Fire Safety 2024-07-18 2024-10-01 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2024-07-18 2024-10-01 N
Provide properly protected cooking facilities. Fire Safety 2024-07-18 2024-10-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-07-18 2024-10-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-18 2024-10-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-07-18 2024-10-01 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-07-18 2024-10-01 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-07-18 2024-10-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-07-18 2024-10-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-18 2024-09-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-18 2024-09-08 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-07-18 2024-09-08 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-07-18 2024-09-08 Y
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 2024-07-18 2024-09-08 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-07-18 2024-09-08 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-07-18 2024-09-08 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-07-18 2024-09-08 N
Provide and implement an infection prevention and control program. Health 2024-07-18 2024-09-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-18 2024-09-08 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 2024-07-18 2024-09-08 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-07-18 2024-09-08 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2024-07-18 2024-09-08 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-07-18 2024-09-08 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-07-18 2024-09-08 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-07-18 2024-09-08 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 2024-02-23 2024-03-14 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-02-23 2024-03-14 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-03-24 2023-04-28 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-03-24 2023-04-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-03-24 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

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