Deficiency Records for Sholom Home West
Updated as of March 01, 2018
This is not the most recent data for Sholom Home West. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-06 | 2017-07-14 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-06-08 | 2017-07-14 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-08 | 2017-07-14 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-06-08 | 2017-07-14 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-08 | 2017-07-14 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-08 | 2017-07-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-06-08 | 2017-07-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-08-12 | 2016-09-28 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-08-12 | 2016-09-28 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-08-12 | 2016-09-28 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-08-12 | 2016-09-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-12 | 2016-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-12 | 2016-09-28 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-08-12 | 2016-09-28 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-08-12 | 2016-09-28 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-08-12 | 2016-09-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-12 | 2016-09-28 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-08-12 | 2016-09-28 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-08-12 | 2016-09-28 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-08-12 | 2016-09-28 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-08-12 | 2016-09-28 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-08-12 | 2016-09-28 | Y |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-08-09 | 2016-09-08 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-08-09 | 2016-09-08 | N |
| Properly maintained smoke detectors. | Fire Safety | 2016-08-09 | 2016-09-08 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-08-09 | 2016-09-08 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-08-09 | 2016-09-08 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-06-12 | 2015-07-29 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-06-12 | 2015-07-29 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2015-06-12 | 2015-07-29 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-06-12 | 2015-07-29 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2015-06-12 | 2015-07-29 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-06-12 | 2015-07-29 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-06-12 | 2015-07-29 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-06-12 | 2015-07-29 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-06-12 | 2015-07-29 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2015-06-12 | 2015-07-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-06-12 | 2015-07-29 | N |
