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Deficiency Records for Wedgemere Healthcare
View the most recent health deficiencies and inspection results for Wedgemere Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Wedgemere Healthcare. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-06 | 2026-01-23 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2026-01-06 | 2026-01-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-21 | 2025-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-21 | 2025-02-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-21 | 2025-02-21 | 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 | 2025-01-21 | 2025-02-21 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-01-21 | 2025-02-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-01-21 | 2025-02-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-21 | 2025-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-21 | 2025-02-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-21 | 2025-02-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-01-21 | 2025-02-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-01-21 | 2025-02-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-01-21 | 2025-01-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-10-22 | 2024-11-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-18 | 2024-01-18 | 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 | 2023-12-18 | 2024-01-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-12-18 | 2024-01-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-18 | 2024-01-08 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2023-12-18 | 2024-01-08 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-12-18 | 2024-01-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-18 | 2024-01-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-18 | 2024-01-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-18 | 2024-01-05 | 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 | 2023-12-18 | 2024-01-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-18 | 2024-01-05 | 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 | 2023-12-18 | 2024-01-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-18 | 2024-01-05 | 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 | 2023-12-18 | 2024-01-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-12-18 | 2024-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-18 | 2024-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-18 | 2024-01-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-18 | 2024-01-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-18 | 2024-01-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-18 | 2024-01-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-18 | 2024-01-05 | N |
| 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 | 2023-12-18 | 2024-01-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-18 | 2024-01-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-18 | 2024-01-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-08 | 2023-11-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-08 | 2023-11-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-03 | 2023-10-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-03 | 2023-10-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-13 | 2021-12-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-13 | 2021-12-01 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-10-13 | 2021-12-01 | 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 | 2021-10-13 | 2021-12-01 | 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 | 2021-10-13 | 2021-12-01 | 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 | 2021-10-13 | 2021-12-01 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-10-13 | 2021-12-01 | N |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-10-13 | 2021-12-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-10-13 | 2021-12-01 | 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 | 2021-10-13 | 2021-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-13 | 2021-12-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-13 | 2021-12-01 | 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 | 2021-10-13 | 2021-12-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-10-13 | 2021-12-01 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-10-13 | 2021-12-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-10-13 | 2021-10-29 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-10-13 | 2021-10-29 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-10-13 | 2021-10-29 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-10-13 | 2021-10-29 | N |