A list of the most recent deficiencies for West Point Care Center Inc. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-08 | 2023-05-25 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-17 | 2022-10-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-17 | 2022-09-17 | 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 | 2022-08-12 | 2022-08-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-12 | 2022-08-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-12 | 2022-08-31 | 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 | 2022-08-12 | 2022-08-31 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-08-12 | 2022-08-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-12 | 2022-08-31 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-12 | 2022-08-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-12 | 2022-08-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-12 | 2022-08-31 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-08-12 | 2022-08-31 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-17 | 2022-08-31 | 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 | 2022-08-17 | 2022-08-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-17 | 2022-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-17 | 2022-08-25 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-08-17 | 2022-08-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-17 | 2022-08-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-17 | 2022-08-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-17 | 2022-08-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-17 | 2022-08-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-31 | 2021-04-19 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-03-31 | 2021-04-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-31 | 2021-04-04 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-03-31 | 2021-04-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-09 | 2019-05-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-09 | 2019-05-21 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-05-09 | 2019-05-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-05-09 | 2019-05-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-09 | 2019-05-10 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-05-02 | 2019-05-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-05-02 | 2019-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-02 | 2019-05-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-22 | Not Fixed | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-22 | Not Fixed | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-22 | Not Fixed | Y |
