A list of the most recent deficiencies for Webco Manor. 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? |
|---|---|---|---|---|
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-01-19 | 2024-03-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-19 | 2024-03-04 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-01-19 | 2024-03-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-19 | 2024-03-04 | 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 | 2024-01-19 | 2024-03-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-19 | 2024-03-04 | 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 | 2024-01-19 | 2024-03-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-19 | 2024-03-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-19 | 2024-03-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-19 | 2024-03-04 | N |
| Use approved construction type or materials. | Fire Safety | 2024-01-19 | 2024-02-23 | 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 | 2024-01-19 | 2024-02-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-19 | 2024-02-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-19 | 2024-02-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-28 | 2023-09-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-31 | 2023-09-01 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-05-31 | 2023-07-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-12 | 2021-12-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-12 | 2021-12-27 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-11-12 | 2021-12-27 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-12 | 2021-12-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-12 | 2021-12-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-24 | 2021-08-07 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-06-24 | 2021-08-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-24 | 2021-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-24 | 2021-08-07 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-03-28 | 2019-05-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-28 | 2019-05-08 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-28 | 2019-05-08 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-03-28 | 2019-05-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-28 | 2019-05-01 | 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 | 2019-03-28 | 2019-05-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-28 | 2019-04-23 | N |
