A list of the most recent deficiencies for Wesley Towers 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-28 | 2023-01-27 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-12-28 | 2022-12-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-21 | 2022-12-16 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-21 | 2022-12-16 | Y |
| 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 | 2022-11-21 | 2022-12-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-21 | 2022-12-16 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-08 | 2021-04-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-08 | 2021-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-11 | 2021-03-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-05 | 2019-08-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-05 | 2019-08-19 | 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 | 2019-08-05 | 2019-08-19 | 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 | 2019-08-05 | 2019-08-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-04-03 | 2019-04-18 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-04-03 | 2019-04-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-04-03 | 2019-04-18 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-04-03 | 2019-04-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-03 | 2019-04-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-03 | 2019-04-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-03 | 2019-04-18 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-04-03 | 2019-04-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-03 | 2019-04-03 | N |
