A list of the most recent deficiencies for Walker Methodist Westwood Ridge Ii. 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? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-07-20 | 2023-09-08 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-07-20 | 2023-09-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-20 | 2023-09-08 | 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 | 2023-07-20 | 2023-09-08 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-07-20 | 2023-09-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-20 | 2023-09-08 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-06-14 | 2022-07-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-14 | 2022-07-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-14 | 2022-07-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-14 | 2022-07-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-14 | 2022-07-31 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-14 | 2022-07-31 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2022-06-14 | 2022-07-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-14 | 2022-07-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-30 | 2022-02-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-29 | 2021-12-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-29 | 2021-12-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-29 | 2021-12-08 | Y |
| Provide activities to meet all resident's needs. | Health | 2019-12-05 | 2020-01-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-05 | 2020-01-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-05 | 2020-01-14 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-12-04 | 2020-01-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-04 | 2020-01-14 | N |
