Deficiency Records for Four Seasons Nursing Center of Westland
Updated as of September 01, 2021
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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-05 | 2020-03-16 | 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 | 2020-02-05 | 2020-03-16 | Y |
| 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 | 2020-02-05 | 2020-03-16 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-12-03 | 2020-01-07 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-12-03 | 2020-01-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-03 | 2020-01-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-03 | 2020-01-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-03 | 2020-01-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-03 | 2020-01-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-03 | 2020-01-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-03 | 2020-01-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-03 | 2020-01-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-03 | 2020-01-07 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-12-03 | 2020-01-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-03 | 2020-01-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-03 | 2020-01-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-03 | 2020-01-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-04 | 2020-01-07 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-12-04 | 2020-01-07 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-12-04 | 2020-01-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-04 | 2020-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-04 | 2020-01-07 | N |
| 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 necessary and PRN use is limited. | 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 |
