A list of the most recent deficiencies for Wellbrooke of Westfield. 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? |
---|---|---|---|---|
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-11-09 | 2023-11-02 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-09 | 2023-11-02 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-01-30 | 2023-02-23 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-30 | 2023-02-23 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-30 | 2023-02-23 | 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 | 2023-01-30 | 2023-02-23 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-30 | 2023-02-23 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-30 | 2023-02-23 | 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 | 2023-01-30 | 2023-02-23 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-30 | 2023-02-23 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-30 | 2023-02-23 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-01-30 | 2023-02-23 | 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 | 2023-01-30 | 2023-02-23 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-30 | 2023-02-23 | N |
Provide and implement an infection prevention and control program. | Health | 2023-01-30 | 2023-02-23 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-30 | 2023-02-23 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-30 | 2023-02-23 | Y |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-14 | 2023-02-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-05 | 2022-05-16 | Y |
Ensure staff are vaccinated for COVID-19 | Health | 2022-05-05 | 2022-05-16 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-31 | 2021-04-20 | Y |
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 | 2021-03-31 | 2021-04-20 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-03-31 | 2021-04-20 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2019-12-19 | 2020-01-18 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-19 | 2020-01-18 | 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 | 2019-12-19 | 2020-01-18 | 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 | 2019-12-19 | 2020-01-18 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-12-19 | 2020-01-18 | N |
Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-01-18 | N |
Keep residents' personal and medical records private and confidential. | Health | 2018-11-20 | 2018-12-18 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-11-20 | 2018-12-18 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-20 | 2018-12-18 | 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 | 2018-11-20 | 2018-12-18 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-20 | 2018-12-18 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-11-20 | 2018-12-18 | N |
Provide and implement an infection prevention and control program. | Health | 2018-11-20 | 2018-12-18 | N |