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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-26 | 2024-04-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-02-26 | 2024-04-22 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2024-02-26 | 2024-04-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-26 | 2024-04-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-02-26 | 2024-04-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-26 | 2024-04-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-26 | 2024-04-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-26 | 2024-04-22 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-02-26 | 2024-04-22 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-02-26 | 2024-04-08 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-02-28 | 2024-04-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-28 | 2024-04-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-28 | 2024-04-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-28 | 2024-04-05 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-02-28 | 2024-03-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-02-26 | 2024-03-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-26 | 2024-03-04 | N |
| 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 |
