Deficiency Records for Westminster Village Health and Rehab
Updated as of April 01, 2024
A list of the most recent deficiencies for Westminster Village Health and Rehab. 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-01-18 | 2023-02-27 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-01-18 | 2023-02-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-18 | 2023-02-27 | 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 | 2023-01-18 | 2023-02-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-18 | 2023-02-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-18 | 2023-02-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-18 | 2023-02-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-18 | 2023-02-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-18 | 2023-02-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-18 | 2023-02-27 | 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 | 2023-01-18 | 2023-02-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-23 | 2023-02-10 | 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 | 2023-01-23 | 2023-02-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-23 | 2023-02-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-01-23 | 2023-02-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-23 | 2023-02-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-22 | 2021-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-22 | 2021-11-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-08-18 | 2020-09-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-08-18 | 2020-08-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-17 | 2020-03-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-17 | 2020-03-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-17 | 2020-03-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-17 | 2020-03-06 | 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 | 2020-02-17 | 2020-03-06 | 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 | 2020-02-17 | 2020-03-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-17 | 2020-03-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-11 | 2019-03-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-11 | 2019-03-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-02-11 | 2019-02-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-02-11 | 2019-02-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-04 | 2019-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-04 | 2019-02-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-04 | 2019-02-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-04 | 2019-02-05 | N |
