A list of the most recent deficiencies for Wesley 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? |
|---|---|---|---|---|
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-24 | 2023-05-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-20 | 2023-05-19 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2023-04-20 | 2023-05-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-20 | 2023-05-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-24 | 2023-05-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-24 | 2023-05-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-24 | 2023-05-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-24 | 2023-05-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-09 | 2023-02-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-07 | 2022-05-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-13 | 2022-01-13 | N |
| Respond appropriately to all alleged violations. | Health | 2021-12-13 | 2022-01-13 | 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 | 2021-12-13 | 2022-01-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-13 | 2022-01-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-13 | 2022-01-13 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-12-13 | 2022-01-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-13 | 2022-01-13 | N |
| 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 | 2021-12-13 | 2022-01-13 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-12-13 | 2022-01-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-13 | 2022-01-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-13 | 2022-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-08 | 2021-12-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-08 | 2021-12-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-08 | 2021-12-21 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-12-08 | 2021-12-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-12-08 | 2021-12-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-12-08 | 2021-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-08 | 2021-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-08 | 2021-10-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-08 | 2021-10-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-19 | 2020-01-19 | 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 | 2019-12-19 | 2020-01-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-19 | 2020-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-01-19 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-12-23 | 2019-12-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-23 | 2019-12-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-23 | 2019-12-30 | N |
