Deficiency Records for Medilodge of Westwood
Updated as of March 01, 2020
This is not the most recent data for Medilodge of Westwood. For the most recent information, click here.
A list of the most recent deficiencies for Medilodge of Westwood. 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? |
|---|---|---|---|---|
| Establish emergency prep training and testing. | Fire Safety | 2019-06-25 | 2019-08-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-25 | 2019-08-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-25 | 2019-08-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-25 | 2019-08-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-25 | 2019-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-25 | 2019-08-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-25 | 2019-08-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-25 | 2019-08-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-25 | 2019-08-13 | N |
| Be properly staffed | Fire Safety | 2019-06-25 | 2019-08-13 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-06-25 | 2019-08-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-25 | 2019-08-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-25 | 2019-08-13 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2019-06-25 | 2019-08-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-26 | 2019-08-05 | 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 | 2019-06-26 | 2019-08-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-26 | 2019-08-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-26 | 2019-08-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-26 | 2019-08-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-06-26 | 2019-08-05 | 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 ne | Health | 2019-06-26 | 2019-08-05 | 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 | 2019-06-26 | 2019-08-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-26 | 2019-08-05 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-06-26 | 2019-08-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-26 | 2019-08-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-26 | 2019-08-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-06-26 | 2019-08-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-23 | 2019-05-13 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-23 | 2019-05-13 | Y |
| 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 | 2019-04-23 | 2019-05-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-23 | 2019-05-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-04-23 | 2019-05-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-12-21 | 2019-01-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-21 | 2019-01-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-21 | 2019-01-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-12-21 | 2019-01-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-10-25 | 2018-11-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-25 | 2018-11-21 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-08-23 | 2018-09-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-23 | 2018-09-20 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-23 | 2018-09-20 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-05-24 | 2018-07-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-24 | 2018-07-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-05-24 | 2018-07-06 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-05-22 | 2018-06-04 | 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 | 2018-05-22 | 2018-06-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-22 | 2018-06-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-22 | 2018-06-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-22 | 2018-06-04 | N |
| Be properly staffed | Fire Safety | 2018-05-22 | 2018-06-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-24 | 2018-06-04 | 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 | 2018-05-24 | 2018-06-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-05-24 | 2018-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-24 | 2018-06-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-05-24 | 2018-06-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-24 | 2018-06-04 | Y |
| 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 | 2018-05-24 | 2018-06-04 | Y |
| 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 | 2018-04-13 | 2018-05-01 | Y |
| 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 | 2018-04-13 | 2018-05-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-13 | 2018-05-01 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2018-04-13 | 2018-05-01 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-13 | 2017-10-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-13 | 2017-10-16 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-09-13 | 2017-10-16 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-13 | 2017-10-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-01 | 2017-06-22 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-06-01 | 2017-06-22 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-04-19 | 2017-05-16 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-04-19 | 2017-05-16 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-19 | 2017-05-16 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-04-19 | 2017-05-16 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-19 | 2017-05-16 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2017-04-19 | 2017-05-16 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-19 | 2017-05-16 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-01 | 2017-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-02-02 | 2017-02-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-02-02 | 2017-02-28 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-02-01 | 2017-02-28 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-02-01 | 2017-02-28 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-01 | 2017-02-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-02-01 | 2017-02-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-01 | 2017-02-28 | N |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2017-02-01 | 2017-02-28 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-02-01 | 2017-02-28 | N |
