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Deficiency Records for Williamstown Commons Nursing and Rehab
View the most recent health deficiencies and inspection results for Williamstown Commons Nursing and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Williamstown Commons Nursing and Rehab. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2026-03-31 | 2026-05-07 | Y |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-12-06 | 2025-01-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-06 | 2025-01-14 | 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 | 2024-12-06 | 2025-01-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-06 | 2025-01-14 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2023-10-24 | 2024-01-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-24 | 2024-01-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-24 | 2024-01-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-24 | 2024-01-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-24 | 2024-01-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-24 | 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 | 2023-10-24 | 2023-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-24 | 2023-11-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-24 | 2023-11-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-24 | 2023-11-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-24 | 2023-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-22 | 2023-10-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-22 | 2023-10-14 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-09 | 2023-09-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-18 | 2022-12-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-18 | 2022-11-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-18 | 2022-11-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-18 | 2022-11-18 | 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 | 2022-10-18 | 2022-11-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-10-18 | 2022-11-18 | 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 | 2022-10-18 | 2022-11-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-18 | 2022-11-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-10-18 | 2022-11-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-18 | 2022-11-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-18 | 2022-11-18 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-18 | 2022-11-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-10-18 | 2022-11-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-18 | 2022-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-18 | 2022-11-17 | N |