A list of the most recent deficiencies for Wellbrooke of South Bend. 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? |
|---|---|---|---|---|
| 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 | 2024-02-20 | 2024-03-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-20 | 2024-03-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-20 | 2024-03-08 | 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 | 2023-01-25 | 2023-02-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-25 | 2023-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-25 | 2023-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-25 | 2023-02-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-25 | 2023-02-14 | 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 | 2022-12-15 | 2023-01-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-15 | 2023-01-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-15 | 2023-01-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-15 | 2023-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-15 | 2023-01-11 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-22 | 2022-03-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-06 | 2021-12-23 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-06-13 | 2019-06-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-13 | 2019-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-13 | 2019-06-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-13 | 2019-06-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-29 | 2019-05-18 | 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 | 2019-04-29 | 2019-05-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-04-29 | 2019-05-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-04-29 | 2019-05-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-03-18 | Not Fixed | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-03-18 | Not Fixed | N |
| Use approved construction type or materials. | Fire Safety | 2024-03-18 | Not Fixed | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-18 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-18 | Not Fixed | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-18 | Not Fixed | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-18 | Not Fixed | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-18 | Not Fixed | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-18 | Not Fixed | N |
