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Deficiency Records for Western Md Hospital Center
View the most recent health deficiencies and inspection results for Western Md Hospital Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Western Md Hospital Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have a combustible roofing system that meets safety standards. | Fire Safety | 2025-12-02 | 2026-04-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-12-02 | 2026-04-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-12-02 | 2026-04-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-02 | 2026-04-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-12-02 | 2026-04-27 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2025-12-02 | 2026-04-27 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-12-02 | 2026-04-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-02 | 2026-04-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-12-02 | 2026-04-27 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-12-02 | 2026-04-27 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-12-02 | 2026-04-27 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-12-02 | 2026-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-02 | 2026-04-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-12-02 | 2026-01-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-02 | 2026-01-14 | 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 | 2025-12-02 | 2026-01-14 | N |
| Post nurse staffing information every day. | Health | 2025-12-02 | 2026-01-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-12-02 | 2026-01-14 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-12-02 | 2026-01-14 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2025-12-02 | 2026-01-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-04 | 2024-10-31 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2024-06-04 | 2024-10-31 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-06-04 | 2024-10-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-04 | 2024-10-31 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-06-04 | 2024-09-11 | N |
| 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 | 2024-06-04 | 2024-09-11 | 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 | 2024-06-04 | 2024-09-11 | Y |
| Provide or obtain dental services for each resident. | Health | 2024-06-04 | 2024-09-10 | 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 | 2024-06-04 | 2024-09-10 | 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 | 2024-06-04 | 2024-09-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-04 | 2024-08-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-04 | 2024-08-30 | Y |
| 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 | 2024-06-04 | 2024-08-30 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-06-04 | 2024-08-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-04 | 2024-08-09 | Y |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-06-04 | 2024-08-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-04 | 2024-08-09 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-06-04 | 2024-08-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-04 | 2024-08-02 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-06-04 | 2024-08-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-04 | 2024-08-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-04 | 2024-08-02 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-06-04 | 2024-07-31 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-06-04 | 2024-07-26 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-04 | 2024-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-04 | 2024-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-04 | 2024-05-24 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-24 | 2019-07-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-24 | 2019-07-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-24 | 2019-07-29 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-05-24 | 2019-07-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-24 | 2019-07-29 | 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 | 2019-05-24 | 2019-07-29 | 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 | 2024-06-04 | Not Fixed | Y |