A list of the most recent deficiencies for West Wind Village. 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? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-11 | 2023-09-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-07-12 | 2023-09-11 | 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 | 2023-07-12 | 2023-09-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-12 | 2023-09-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-12 | 2023-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-02 | 2022-06-15 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-19 | 2021-12-31 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-10-19 | 2021-12-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-20 | 2021-12-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-20 | 2021-11-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-19 | 2021-11-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-10-19 | 2021-11-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-31 | 2020-03-06 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-01-31 | 2020-03-06 | N |
| Respond appropriately to all alleged violations. | Health | 2020-01-31 | 2020-03-06 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-01-31 | 2020-03-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-31 | 2020-03-06 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-01-31 | 2020-03-06 | N |
| Post nurse staffing information every day. | Health | 2020-01-31 | 2020-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-31 | 2020-03-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-01-31 | 2020-03-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-29 | 2020-03-06 | 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 | 2020-01-29 | 2020-03-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
