A list of the most recent deficiencies for Sholom Home West. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-09-18 | 2023-11-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-09-18 | 2023-11-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-18 | 2023-11-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-21 | 2023-11-08 | 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 | 2023-09-21 | 2023-11-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-18 | 2023-10-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-18 | 2023-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-18 | 2023-09-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-18 | 2023-09-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-18 | 2023-09-22 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-09-18 | 2023-09-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-18 | 2023-09-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-18 | 2023-09-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-14 | 2022-10-25 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-13 | 2021-09-30 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-07-13 | 2021-09-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-07-15 | 2021-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-15 | 2021-08-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-15 | 2021-08-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-15 | 2021-08-05 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2021-07-13 | 2021-08-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-13 | 2021-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-13 | 2021-08-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-13 | 2021-08-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-13 | 2021-08-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-05-09 | 2019-07-17 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-05-09 | 2019-07-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-09 | 2019-07-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-05-16 | 2019-06-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-05-16 | 2019-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-16 | 2019-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-16 | 2019-06-21 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2019-05-16 | 2019-06-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-16 | 2019-06-21 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-05-09 | 2019-06-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-05-09 | 2019-06-17 | 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 | 2019-05-09 | 2019-06-17 | N |
