Deficiency Records for West Bend Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for West Bend Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-02 | 2024-01-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-02 | 2024-01-19 | 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 | 2024-01-02 | 2024-01-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-02 | 2024-01-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-02 | 2024-01-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-02 | 2024-01-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-02 | 2024-01-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-02 | 2024-01-19 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-01-02 | 2024-01-19 | 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 | 2023-12-08 | 2024-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-08 | 2024-01-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-08 | 2024-01-10 | 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 | 2023-12-08 | 2024-01-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-13 | 2023-03-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-13 | 2023-03-10 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-05 | 2022-12-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-12-05 | 2022-12-06 | N |
| Develop a communication plan. | Fire Safety | 2022-12-05 | 2022-12-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-12-05 | 2022-12-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-05 | 2022-12-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-05 | 2022-12-06 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-12-05 | 2022-12-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-05 | 2022-12-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-05 | 2022-12-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-25 | 2022-11-15 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-10-25 | 2022-11-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-10-25 | 2022-11-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-25 | 2022-11-15 | 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 | 2022-10-25 | 2022-11-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-25 | 2022-11-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-25 | 2022-11-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-25 | 2022-11-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-25 | 2022-11-15 | 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 | 2022-10-25 | 2022-11-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-25 | 2022-11-15 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-10-25 | 2022-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-25 | 2022-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-03-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-26 | 2021-06-25 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-20 | 2019-07-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-20 | 2019-07-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-06-20 | 2019-07-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-20 | 2019-07-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-20 | 2019-07-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-20 | 2019-07-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-20 | 2019-07-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-20 | 2019-07-23 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-06-20 | 2019-07-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-20 | 2019-07-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-20 | 2019-07-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-20 | 2019-07-23 | N |
