A list of the most recent deficiencies for Wakefield Care and Rehab. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-03 | 2024-01-25 | 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 | 2024-01-03 | 2024-01-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-03 | 2024-01-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-01-03 | 2024-01-25 | 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 | 2024-01-03 | 2024-01-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-03 | 2024-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-03 | 2024-01-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-03 | 2024-01-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-03 | 2024-01-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-03 | 2024-01-25 | 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 | 2023-11-20 | 2023-12-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-20 | 2023-12-15 | 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 | 2023-11-20 | 2023-12-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-21 | 2023-08-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-21 | 2023-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-11 | 2023-02-24 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-17 | 2022-06-24 | 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 | 2022-05-17 | 2022-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-17 | 2022-06-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-17 | 2022-06-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-17 | 2022-06-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-17 | 2022-06-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-17 | 2022-06-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-17 | 2022-06-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-13 | 2022-05-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-13 | 2022-05-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-13 | 2022-05-16 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-04-13 | 2022-05-16 | N |
| Post nurse staffing information every day. | Health | 2020-10-05 | 2020-10-26 | 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 | 2020-10-05 | 2020-10-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2020-10-05 | 2020-10-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-10-05 | 2020-10-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-05 | 2020-10-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-03-03 | 2020-03-31 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-03-03 | 2020-03-31 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2020-03-03 | 2020-03-31 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-03-03 | 2020-03-31 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2020-03-03 | 2020-03-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-03 | 2020-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-03 | 2020-03-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-03 | 2020-03-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-03 | 2020-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-03 | 2020-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-03 | 2020-03-31 | N |
