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Deficiency Records for West Side House Ltc Facility
View the most recent health deficiencies and inspection results for West Side House Ltc Facility. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for West Side House Ltc Facility. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-12-30 | 2025-02-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-12-30 | 2025-02-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-30 | 2025-02-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-30 | 2025-02-11 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-12-30 | 2025-02-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-12-30 | 2025-02-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-12-30 | 2025-02-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-30 | 2025-02-11 | 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 | 2024-12-30 | 2025-02-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-12-30 | 2025-02-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-12-30 | 2025-02-11 | N |
| Develop a communication plan. | Fire Safety | 2024-12-30 | 2025-02-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-30 | 2025-01-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-30 | 2025-01-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-12-30 | 2025-01-24 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-12-30 | 2025-01-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-11-06 | 2024-12-04 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-07 | 2023-11-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-07 | 2023-10-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-07 | 2023-09-29 | 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 | 2023-09-07 | 2023-09-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-07 | 2023-09-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-07 | 2023-09-29 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-09-07 | 2023-09-29 | 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 | 2023-09-07 | 2023-09-29 | N |
| Provide activities to meet all resident's needs. | Health | 2023-09-07 | 2023-09-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-02 | 2022-03-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-02-02 | 2022-03-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-02 | 2022-03-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-02 | 2022-03-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-02-02 | 2022-03-25 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-02 | 2022-03-23 | N |
| 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 | 2022-02-02 | 2022-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-02 | 2022-03-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-02 | 2022-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-02 | 2022-03-23 | N |
| Post nurse staffing information every day. | Health | 2022-02-02 | 2022-03-23 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-02-02 | 2022-03-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-02 | 2022-03-23 | 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 | 2022-02-02 | 2022-03-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-02 | 2022-03-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-02 | 2022-03-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-02-02 | 2022-03-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-02 | 2022-03-23 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2022-02-02 | 2022-03-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-02-02 | 2022-03-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-02-02 | 2022-03-23 | N |