A list of the most recent deficiencies for Westridge Health 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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-17 | 2023-05-26 | 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 | 2023-04-17 | 2023-05-26 | 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 | 2023-04-17 | 2023-05-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-17 | 2023-05-26 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-04-17 | 2023-05-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-17 | 2023-05-26 | 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 | 2023-04-17 | 2023-05-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-17 | 2023-05-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-17 | 2023-05-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-08 | 2023-05-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-08 | 2023-05-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-08 | 2023-05-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-08 | 2023-05-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-08 | 2023-05-26 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-10-07 | 2022-11-09 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2022-05-09 | 2022-05-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-09 | 2022-05-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-09 | 2022-05-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-09 | 2022-05-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-09 | 2022-05-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-09 | 2022-05-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-09 | 2022-05-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-13 | 2022-05-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-13 | 2022-05-05 | 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 | 2022-04-13 | 2022-05-05 | 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 | 2022-04-13 | 2022-05-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-13 | 2022-05-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-13 | 2022-05-05 | N |
| Provide or obtain dental services for each resident. | Health | 2022-04-13 | 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 | 2022-04-13 | 2022-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-14 | 2021-10-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-08-06 | 2020-08-26 | 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 | 2020-08-06 | 2020-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-08-06 | 2020-08-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-08-06 | 2020-08-26 | 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 | 2020-02-28 | 2020-03-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-02-28 | 2020-03-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-28 | 2020-03-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-28 | 2020-03-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-28 | 2020-03-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-28 | 2020-03-29 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-02-28 | 2020-03-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-28 | 2020-03-29 | 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 | 2020-02-28 | 2020-03-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-28 | 2020-03-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-02-28 | 2020-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-28 | 2020-03-29 | N |
