Deficiency Records for Sholom Home West
Updated as of January 01, 2019
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? |
---|---|---|---|---|
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-04-11 | 2018-05-06 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-12 | 2018-05-06 | 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 | 2018-04-12 | 2018-05-06 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-12 | 2018-05-06 | N |
Provide and implement an infection prevention and control program. | Health | 2018-04-12 | 2018-05-06 | N |
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 |