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Deficiency Records for Westview of Derby Rehabilitation and Health Care Cen
View the most recent health deficiencies and inspection results for Westview of Derby Rehabilitation and Health Care Cen. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Westview of Derby Rehabilitation and Health Care Cen. Stay informed about quality of care issues.
| 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 | 2025-09-16 | 2025-10-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-16 | 2025-10-10 | Y |
| Ensure that anesthesia apparatus are tested after any adjustment, modification or repair. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Meet other general requirements. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-03-05 | 2025-06-03 | 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 | 2025-03-05 | 2025-06-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-03-05 | 2025-06-03 | 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 | 2025-03-05 | 2025-06-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-03-05 | 2025-06-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-03-05 | 2025-04-18 | Y |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2025-03-05 | 2025-04-18 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-03-05 | 2025-04-18 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-03-05 | 2025-04-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-05 | 2025-04-18 | Y |
| Provide activities to meet all resident's needs. | Health | 2025-03-05 | 2025-04-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-05 | 2025-04-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-05 | 2025-04-18 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-03-05 | 2025-04-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-05 | 2025-04-18 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-03-05 | 2025-04-18 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-03-05 | 2025-04-18 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2025-03-05 | 2025-04-18 | Y |
| 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 | 2025-03-05 | 2025-04-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-05 | 2025-04-18 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-03-05 | 2025-04-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-05 | 2025-04-18 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-05 | 2025-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-08 | 2025-01-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-16 | 2024-05-16 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-04-17 | 2024-05-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-05 | 2024-04-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-10 | 2024-01-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-26 | 2023-09-23 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-05-18 | 2023-08-01 | 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 | 2023-05-18 | 2023-08-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-18 | 2023-08-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-18 | 2023-07-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-18 | 2023-07-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-18 | 2023-07-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-18 | 2023-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-18 | 2023-07-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-18 | 2023-07-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-18 | 2023-07-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-18 | 2023-07-01 | 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 | 2023-05-18 | 2023-07-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-18 | 2023-07-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-05-18 | 2023-07-01 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-05-18 | 2023-07-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-05-18 | 2023-05-17 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-09-30 | 2021-11-14 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-09-30 | 2021-11-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-09-30 | 2021-11-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-30 | 2021-11-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-30 | 2021-11-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-09-30 | 2021-11-14 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-09-30 | 2021-11-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-09-30 | 2021-11-14 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-09-30 | 2021-11-14 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-09-30 | 2021-11-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-30 | 2021-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-30 | 2021-11-14 | 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 | 2021-09-30 | 2021-11-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-30 | 2021-11-14 | 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 | 2021-09-30 | 2021-11-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-09-30 | 2021-11-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-30 | 2021-11-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-30 | 2021-11-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-30 | 2021-11-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-30 | 2021-11-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-30 | 2021-11-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-30 | 2021-11-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-30 | 2021-11-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-30 | 2021-09-30 | N |