Deficiency Records for Westlake Health Campus
Updated as of March 01, 2023
This is not the most recent data for Westlake Health Campus. For the most recent information, click here.
A list of the most recent deficiencies for Westlake Health Campus. 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 and implement an infection prevention and control program. | Health | 2022-09-21 | 2022-10-18 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-21 | 2022-10-18 | 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 | 2022-09-21 | 2022-10-18 | 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 necessary and PRN use is limited. | Health | 2022-09-21 | 2022-10-18 | 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 | 2022-09-21 | 2022-10-18 | 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 | 2022-10-07 | 2022-10-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-10-07 | 2022-10-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-07 | 2022-10-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-07 | 2022-10-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-29 | 2021-08-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-29 | 2021-08-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-29 | 2021-08-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-29 | 2021-08-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-29 | 2021-08-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-29 | 2021-08-04 | 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 | 2021-07-29 | 2021-08-04 | N |
| Provide or obtain dental services for each resident. | Health | 2021-07-29 | 2021-08-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-29 | 2021-08-04 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-08-21 | 2019-09-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-21 | 2019-09-25 | N |
| 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 | 2019-08-21 | 2019-09-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-21 | 2019-09-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-21 | 2019-09-25 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-08-21 | 2019-09-25 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-08-21 | 2019-09-25 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-08-21 | 2019-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-21 | 2019-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-21 | 2019-09-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-27 | 2019-09-25 | N |
