CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Wellsville Health Care Center
View the most recent health deficiencies and inspection results for Wellsville Health Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Wellsville Health Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-11-18 | 2025-11-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-24 | 2025-08-04 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-08 | 2025-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-08 | 2025-07-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-08 | 2025-07-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-05-08 | 2025-07-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-08 | 2025-07-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-05-08 | 2025-07-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-05-08 | 2025-07-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-05-08 | 2025-07-25 | 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 | 2025-05-08 | 2025-06-22 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-05-08 | 2025-06-22 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-05-08 | 2025-06-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-05-08 | 2025-06-22 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-05-08 | 2025-06-22 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-05-08 | 2025-06-22 | 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 | 2025-05-08 | 2025-06-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-05-08 | 2025-06-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-08 | 2025-06-22 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-05-08 | 2025-06-22 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-05-08 | 2025-06-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-05-08 | 2025-06-22 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-05-08 | 2025-06-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-08 | 2025-06-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-05-08 | 2025-06-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-05-08 | 2025-06-22 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2025-05-08 | 2025-06-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-05-08 | 2025-06-22 | N |
| Meet other general requirements. | Fire Safety | 2025-05-08 | 2025-06-22 | 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 | 2025-05-08 | 2025-06-22 | 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 | 2025-05-08 | 2025-06-22 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-05-08 | 2025-06-22 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-05-08 | 2025-06-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-05-08 | 2025-06-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-05-08 | 2025-06-22 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-05-08 | 2025-06-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-05-08 | 2025-06-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-08 | 2025-06-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-18 | 2025-04-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-03-18 | 2025-04-13 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-09-25 | 2024-10-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-11-06 | 2024-10-18 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-04-04 | 2024-05-20 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-04-04 | 2024-05-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-04 | 2024-05-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-04-04 | 2024-05-20 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-04-04 | 2024-05-20 | 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 | 2024-04-04 | 2024-05-20 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-04-04 | 2024-05-20 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-04-04 | 2024-05-20 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-04-04 | 2024-05-20 | 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 | 2024-04-04 | 2024-05-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-04 | 2024-05-20 | 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 | 2024-04-04 | 2024-05-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-04 | 2024-05-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-04-04 | 2024-05-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-04 | 2024-05-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-04-04 | 2024-05-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-04 | 2024-05-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-04 | 2024-05-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-04 | 2024-05-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-04 | 2024-05-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-04-04 | 2024-05-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-04 | 2024-05-20 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-04-04 | 2024-05-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-04 | 2024-05-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-04-04 | 2024-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-04 | 2024-05-20 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-04-04 | 2024-05-20 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-04-04 | 2024-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-04 | 2024-05-20 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-04-04 | 2024-05-20 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-04-04 | 2024-05-20 | N |
| Help the resident with transportation to and from laboratory services outside of the facility. | Health | 2024-04-04 | 2024-05-20 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-03-29 | 2023-05-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-29 | 2023-05-13 | 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 | 2023-03-29 | 2023-05-13 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-03-29 | 2023-05-13 | 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 | 2023-03-29 | 2023-05-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-29 | 2023-05-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-29 | 2023-05-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-29 | 2023-05-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-29 | 2023-05-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-29 | 2023-05-10 | N |
| Meet other general requirements. | Fire Safety | 2023-03-29 | 2023-05-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-29 | 2023-05-10 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-03-29 | 2023-05-02 | 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 | 2023-03-29 | 2023-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-29 | 2023-04-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-03-29 | 2023-04-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-29 | 2023-04-25 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-29 | 2023-04-22 | 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 | 2023-03-29 | 2023-04-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-29 | 2023-04-21 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2023-03-29 | 2023-04-21 | 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 | 2023-03-29 | 2023-04-20 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-03-29 | 2023-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-29 | 2023-04-20 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-03-29 | 2023-04-20 | N |