A list of the most recent deficiencies for West Ridge Specialty Care. 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 that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2023-05-05 | 2023-09-29 | 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 | 2023-05-04 | 2023-05-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-04 | 2023-05-30 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-05-04 | 2023-05-30 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-05-04 | 2023-05-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-05-04 | 2023-05-30 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-05 | 2023-05-11 | N |
| Use approved construction type or materials. | Fire Safety | 2023-05-05 | 2023-05-07 | 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 | 2023-05-05 | 2023-05-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-31 | 2023-02-01 | Y |
| 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 | 2023-01-31 | 2023-02-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-17 | 2022-12-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-17 | 2022-12-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-17 | 2022-12-22 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-11-17 | 2022-12-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-17 | 2022-09-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-17 | 2022-09-27 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-22 | 2021-08-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-22 | 2021-08-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-22 | 2021-08-10 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-22 | 2021-08-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-22 | 2021-08-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-22 | 2021-08-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-22 | 2021-08-02 | N |
| Use approved construction type or materials. | Fire Safety | 2021-07-22 | 2021-07-28 | 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 | 2021-07-22 | 2021-07-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-22 | 2021-07-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-22 | 2021-07-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-22 | 2021-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-08 | 2021-06-08 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-09-16 | 2019-10-04 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-09-16 | 2019-10-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-16 | 2019-10-04 | 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 | 2019-09-16 | 2019-10-04 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-09-16 | 2019-10-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-09-16 | 2019-09-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-16 | 2019-09-26 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-09-12 | 2019-09-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-16 | 2019-09-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-16 | 2019-09-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-16 | 2019-09-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-09-16 | 2019-09-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-16 | 2019-09-16 | N |
