Deficiency Records for West Woods of Bridgman

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Updated as of March 01, 2024

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