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 |