A list of the most recent deficiencies for West Woods of Bridgman. 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? |
---|---|---|---|---|
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-28 | 2023-08-17 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-28 | 2023-07-27 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-28 | 2023-07-27 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-28 | 2023-07-27 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-28 | 2023-07-27 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-28 | 2023-07-27 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-28 | 2023-07-27 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-06-28 | 2023-07-27 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-28 | 2023-07-27 | Y |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-06-28 | 2023-07-27 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-06-28 | 2023-07-27 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-28 | 2023-07-27 | Y |
Conduct testing and exercise requirements. | Fire Safety | 2023-06-27 | 2023-07-27 | N |
Have exits that are accessible at all times. | Fire Safety | 2023-06-27 | 2023-07-27 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-27 | 2023-07-27 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-27 | 2023-07-27 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-27 | 2023-07-27 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-27 | 2023-07-27 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-27 | 2023-07-27 | 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 | 2022-03-31 | 2022-05-10 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-31 | 2022-05-10 | N |
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 | 2022-03-31 | 2022-05-10 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-31 | 2022-05-10 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-31 | 2022-05-10 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-31 | 2022-05-10 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-31 | 2022-05-10 | 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 | 2022-03-31 | 2022-05-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-31 | 2022-05-10 | N |
Provide and implement an infection prevention and control program. | Health | 2022-03-31 | 2022-05-10 | N |
Implement a program that monitors antibiotic use. | Health | 2022-03-31 | 2022-05-10 | N |
Ensure staff are vaccinated for COVID-19 | Health | 2022-03-31 | 2022-05-10 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-31 | 2022-05-10 | Y |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-03-31 | 2022-05-10 | Y |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-31 | 2022-04-11 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-31 | 2022-04-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-11 | 2021-08-20 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-12 | 2021-02-11 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-10 | 2020-02-04 | N |
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 | 2020-01-10 | 2020-02-04 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-10 | 2020-02-04 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-10 | 2020-02-04 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-10 | 2020-02-04 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-10 | 2020-02-04 | 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 | 2020-01-10 | 2020-02-04 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-10 | 2020-02-04 | N |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2020-01-10 | 2020-02-04 | N |