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Deficiency Records for Westbrook Acres
View the most recent health deficiencies and inspection results for Westbrook Acres. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Westbrook Acres. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-03-12 | 2026-03-30 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-03-12 | 2026-03-30 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-03-12 | 2026-03-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-03-12 | 2026-03-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-03-12 | 2026-03-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-12 | 2026-03-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2026-03-12 | 2026-03-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2026-03-12 | 2026-03-13 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-03-06 | 2025-03-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-06 | 2025-03-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-03-06 | 2025-03-21 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-03-06 | 2025-03-21 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-03-06 | 2025-03-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-03-06 | 2025-03-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-03-06 | 2025-03-20 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-03-06 | 2025-03-18 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-03-06 | 2025-03-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-03-06 | 2025-03-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-03-06 | 2025-03-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-03-06 | 2025-03-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-06 | 2025-03-10 | 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 | 2025-03-06 | 2025-03-10 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-03-06 | 2025-03-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-03-06 | 2025-03-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-03-06 | 2025-03-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-18 | 2024-05-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-18 | 2024-05-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-18 | 2024-05-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-18 | 2024-05-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-04-18 | 2024-05-03 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-04-18 | 2024-05-03 | 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 | 2024-04-18 | 2024-05-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-18 | 2024-05-01 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-04-18 | 2024-05-01 | N |
| 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 |