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Deficiency Records for The Westchester House
View the most recent health deficiencies and inspection results for The Westchester House. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Westchester House. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-13 | 2025-07-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-13 | 2025-07-02 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-05-13 | 2025-06-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-28 | 2024-10-25 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-08-28 | 2024-10-03 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-08-28 | 2024-10-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-28 | 2024-10-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-28 | 2024-10-03 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-08-28 | 2024-10-03 | N |
| Provide activities to meet all resident's needs. | Health | 2024-08-28 | 2024-10-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-28 | 2024-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-28 | 2024-10-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-28 | 2024-10-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-28 | 2024-10-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-28 | 2024-10-03 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-28 | 2024-10-03 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-28 | 2024-10-03 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-28 | 2024-10-03 | N |
| Use approved construction type or materials. | Fire Safety | 2024-08-28 | 2024-10-03 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-08-28 | 2024-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-28 | 2024-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-28 | 2024-10-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-08-28 | 2024-10-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-28 | 2024-10-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-28 | 2024-10-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-28 | 2024-10-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-28 | 2024-10-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-03 | 2024-05-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-01 | 2024-04-09 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-03-01 | 2024-04-09 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-15 | 2023-07-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-15 | 2023-07-28 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-15 | 2023-07-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-15 | 2023-07-28 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-06-15 | 2023-07-28 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-06-15 | 2023-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-15 | 2023-07-28 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2023-06-15 | 2023-07-28 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-15 | 2023-07-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-15 | 2023-07-28 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-15 | 2023-07-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-15 | 2023-07-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-15 | 2023-07-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-15 | 2023-07-28 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-15 | 2023-07-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-15 | 2023-07-28 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-06-15 | 2023-07-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-06-15 | 2023-07-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-15 | 2023-07-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-15 | 2023-07-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-15 | 2023-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-15 | 2023-07-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-15 | 2023-07-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-15 | 2023-07-28 | 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 | 2023-06-15 | 2023-07-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-06-15 | 2023-07-28 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-15 | 2023-07-28 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-15 | 2023-07-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-03 | 2023-07-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-03 | 2023-07-15 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-10-11 | 2019-11-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-11 | 2019-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-11 | 2019-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-11 | 2019-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-11 | 2019-11-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-11 | 2019-11-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-11 | 2019-11-20 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-10-11 | 2019-11-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-11 | 2019-11-20 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-10-11 | 2019-11-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-11 | 2019-11-20 | N |