Deficiency Records for Four Seasons Nursing Center of Westland
Updated as of July 01, 2019
This is not the most recent data for Four Seasons Nursing Center of Westland. For the most recent information, click here.
A list of the most recent deficiencies for Four Seasons Nursing Center of Westland. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-12-13 | 2019-01-23 | Y |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-10-10 | 2018-11-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-10-10 | 2018-11-14 | 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 | 2018-10-10 | 2018-11-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-10 | 2018-11-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-10-10 | 2018-11-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-10 | 2018-11-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-10-10 | 2018-11-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-10 | 2018-11-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-10 | 2018-11-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-10-10 | 2018-11-14 | N |
| Be properly staffed | Fire Safety | 2018-10-10 | 2018-11-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-10 | 2018-11-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-10 | 2018-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-11 | 2018-11-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-10-11 | 2018-11-14 | Y |
| 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 | 2018-10-11 | 2018-11-14 | Y |
| 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 | 2018-10-11 | 2018-11-14 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-08-23 | 2017-10-02 | 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 | 2017-08-23 | 2017-10-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-08-23 | 2017-10-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-23 | 2017-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-23 | 2017-10-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-23 | 2017-10-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-08-23 | 2017-10-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-08-23 | 2017-10-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-23 | 2017-10-02 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2017-08-23 | 2017-10-02 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-24 | 2017-10-02 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-08-24 | 2017-10-02 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-24 | 2017-10-02 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-08-24 | 2017-10-02 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-24 | 2017-10-02 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-08-24 | 2017-10-02 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-24 | 2017-10-02 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-24 | 2017-10-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-24 | 2017-10-02 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2017-08-24 | 2017-10-02 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2017-08-24 | 2017-10-02 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-09-13 | 2016-11-14 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| Proper backup exit lighting. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| A written emergency evacuation plan. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| An automatic smoke detection system in all hallways. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| Portable fire extinguishers. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2016-09-13 | 2016-10-19 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-09-14 | 2016-10-19 | N |
| 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 | 2016-09-14 | 2016-10-19 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-09-14 | 2016-10-19 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-09-14 | 2016-10-19 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-09-14 | 2016-10-19 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-09-14 | 2016-10-19 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-09-14 | 2016-10-19 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2016-09-14 | 2016-10-19 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-09-14 | 2016-10-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-09-14 | 2016-10-19 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2016-09-14 | 2016-10-19 | N |
| Provide housekeeping and maintenance services. | Health | 2016-09-14 | 2016-10-19 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-14 | 2016-10-19 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-09-14 | 2016-10-19 | Y |
