A list of the most recent deficiencies for Wesleyan 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2024-01-03 | 2024-01-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-03 | 2024-01-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-03 | 2024-01-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-03 | 2024-01-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-03 | 2024-01-25 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-12-04 | 2023-12-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-04 | 2023-12-22 | 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 | 2023-12-04 | 2023-12-22 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-12-04 | 2023-12-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-04 | 2023-12-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-12 | 2023-10-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-11 | 2023-08-18 | Y |
| Meet other general requirements. | Fire Safety | 2022-11-29 | 2023-01-20 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-11-29 | 2023-01-20 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-11-29 | 2023-01-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-29 | 2023-01-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-11-29 | 2023-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-29 | 2023-01-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-29 | 2023-01-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-29 | 2023-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-24 | 2022-11-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-16 | 2022-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-16 | 2022-09-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-12 | 2022-01-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-01 | 2021-11-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-29 | 2021-10-13 | Y |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2021-08-26 | 2021-09-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-08-26 | 2021-09-30 | 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 | 2021-08-26 | 2021-09-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-26 | 2021-09-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-26 | 2021-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-26 | 2021-09-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-26 | 2021-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-26 | 2021-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-26 | 2021-09-30 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-08-20 | 2021-09-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-08-20 | 2021-09-15 | N |
| Provide activities to meet all resident's needs. | Health | 2021-08-20 | 2021-09-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-20 | 2021-09-15 | 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 | 2021-08-20 | 2021-09-15 | 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 | 2021-08-20 | 2021-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-20 | 2021-09-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-13 | 2021-09-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-28 | 2021-09-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-28 | 2021-08-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-28 | 2021-08-27 | Y |
