A list of the most recent deficiencies for Wellsville Manor. 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? |
|---|---|---|---|---|
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-01-18 | 2023-02-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-18 | 2023-02-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-18 | 2023-02-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-18 | 2023-02-27 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-01-18 | 2023-02-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-18 | 2023-02-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-30 | 2022-12-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-30 | 2022-12-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-30 | 2022-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-30 | 2022-12-15 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-07-22 | 2021-09-08 | 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 | 2021-07-22 | 2021-09-08 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-07-22 | 2021-09-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-22 | 2021-09-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-22 | 2021-09-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-22 | 2021-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-22 | 2021-09-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-22 | 2021-09-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-22 | 2021-09-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-22 | 2021-09-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-22 | 2021-09-08 | 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 | 2021-05-24 | 2021-06-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-22 | 2019-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-22 | 2019-09-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-22 | 2019-09-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-22 | 2019-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-22 | 2019-09-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-06 | 2019-09-23 | N |
