A list of the most recent deficiencies for Westbrook Acres. 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 all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-28 | 2023-10-20 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-09-28 | 2023-10-20 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-02-16 | 2023-03-10 | 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 | 2023-02-16 | 2023-03-10 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-02-16 | 2023-03-10 | 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 | 2023-02-21 | 2023-02-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-21 | 2023-02-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-21 | 2023-02-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-21 | 2023-02-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-08 | 2021-09-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-01 | 2021-09-09 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-09-01 | 2021-09-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-01 | 2021-09-09 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-08 | 2021-09-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-08 | 2021-09-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-12 | 2020-01-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-12 | 2019-12-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-12 | 2019-12-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-12-05 | 2019-12-20 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-12-05 | 2019-12-20 | 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 | 2019-12-05 | 2019-12-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-12 | 2019-12-20 | N |
