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Deficiency Records for Westchester Village of Lenexa
View the most recent health deficiencies and inspection results for Westchester Village of Lenexa. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Westchester Village of Lenexa. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-19 | 2025-05-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-19 | 2025-05-02 | Y |
| 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 | 2025-03-19 | 2025-05-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-19 | 2025-05-02 | 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 | 2025-03-19 | 2025-05-02 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-03-19 | 2025-05-02 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-03-19 | 2025-05-02 | Y |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2025-03-19 | 2025-05-02 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-03-19 | 2025-05-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-03-19 | 2025-05-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-03-19 | 2025-05-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-12 | 2023-09-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-12 | 2023-09-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-12 | 2023-09-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-12 | 2023-09-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-12 | 2023-09-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-12 | 2023-09-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-12 | 2023-09-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-12 | 2023-09-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-12 | 2023-09-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-12 | 2023-09-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-12 | 2023-07-20 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-12 | 2023-07-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-12 | 2023-07-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-12 | 2023-07-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-12 | 2023-07-20 | 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 | 2023-07-12 | 2023-07-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-12 | 2023-07-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-30 | 2022-02-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-30 | 2022-02-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-30 | 2022-02-17 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-12-30 | 2022-02-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-12-30 | 2022-02-17 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-12-30 | 2022-02-17 | 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 | 2021-12-30 | 2022-02-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-30 | 2022-02-17 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-12-30 | 2022-02-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-30 | 2022-02-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-30 | 2022-02-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-30 | 2022-02-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-30 | 2022-02-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-30 | 2022-02-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-30 | 2022-01-30 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-12-30 | 2022-01-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-30 | 2022-01-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-30 | 2022-01-30 | 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 | 2021-12-30 | 2022-01-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-12-30 | 2022-01-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-30 | 2022-01-30 | N |