A list of the most recent deficiencies for West Bend Health 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? |
|---|---|---|---|---|
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-01-12 | 2024-01-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-19 | 2023-07-31 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-29 | 2023-01-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-29 | 2023-01-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-29 | 2023-01-27 | 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 | 2022-12-29 | 2023-01-27 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-12-29 | 2023-01-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-29 | 2023-01-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-29 | 2023-01-27 | 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 | 2023-01-06 | 2023-01-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-06 | 2023-01-13 | N |
| Develop a communication plan. | Fire Safety | 2023-01-06 | 2023-01-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-06 | 2023-01-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-06 | 2023-01-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-06 | 2023-01-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-06 | 2023-01-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-06 | 2023-01-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-03 | 2022-10-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-03 | 2022-10-24 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-10-03 | 2022-10-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-03 | 2022-10-24 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-17 | 2021-08-17 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-08-12 | 2021-08-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-08-12 | 2021-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-12 | 2021-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-25 | 2019-10-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-25 | 2019-09-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-19 | 2019-09-20 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-09-19 | 2019-09-20 | N |
