Deficiency Records for Webster Park Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Webster Park Rehabilitation and Healthcare Center. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-14 | 2023-11-21 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-11-14 | 2023-11-21 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-14 | 2023-11-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-14 | 2023-11-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-11-14 | 2023-11-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-14 | 2023-11-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-14 | 2023-11-21 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-11-14 | 2023-11-21 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-10-31 | 2023-11-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-31 | 2023-11-09 | 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 | 2023-10-31 | 2023-11-09 | N |
| Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | Health | 2023-10-31 | 2023-11-09 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-10-31 | 2023-11-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-31 | 2023-11-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-13 | 2022-09-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-01 | 2021-12-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-30 | 2021-08-17 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-06-30 | 2021-08-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-30 | 2021-08-17 | 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 | 2021-06-30 | 2021-08-17 | 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 | 2021-06-30 | 2021-08-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-30 | 2021-08-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-30 | 2021-08-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-30 | 2021-08-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-30 | 2021-08-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-31 | 2021-08-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-31 | 2021-08-13 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-07-12 | 2021-07-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-12 | 2021-07-30 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-05 | 2019-07-18 | 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 | 2019-06-05 | 2019-07-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-05 | 2019-07-18 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-06-05 | 2019-07-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-05 | 2019-07-18 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-06-05 | 2019-07-18 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-05-07 | 2019-06-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-07 | 2019-06-11 | N |
| Respond appropriately to all alleged violations. | Health | 2019-05-07 | 2019-06-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-07 | 2019-06-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-07 | 2019-06-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-05-07 | 2019-06-11 | 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 | 2019-05-07 | 2019-06-11 | 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 | 2019-05-07 | 2019-06-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-07 | 2019-06-11 | N |
