Deficiency Records for The Suites at Western Home Communities
Updated as of May 01, 2024
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Deficiency Records for The Suites at Western Home Communities
A list of the most recent deficiencies for The Suites at Western Home Communities. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for The Suites at Western Home Communities. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-02-29 | 2024-03-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-29 | 2024-03-29 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-02-29 | 2024-03-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-29 | 2024-03-29 | 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 | 2024-02-29 | 2024-03-29 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-02-29 | 2024-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-29 | 2024-03-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-05 | 2024-03-22 | 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 | 2024-03-05 | 2024-03-14 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-03-05 | 2024-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-05 | 2024-03-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-06 | 2023-07-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-06 | 2023-07-18 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-15 | 2023-02-27 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-02-09 | 2023-02-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-09 | 2023-02-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-09 | 2023-02-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-09 | 2023-02-24 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-15 | 2023-02-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-15 | 2023-02-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-09 | 2021-09-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-09 | 2021-09-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-09 | 2021-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-09 | 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 | 2021-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-01 | 2021-09-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-09 | 2021-09-10 | N |
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