Deficiency Records for Warsaw Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Warsaw Health and Rehabilitation Center. 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? |
---|---|---|---|---|
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-04-28 | 2023-06-05 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-04-28 | 2023-06-05 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-28 | 2023-06-05 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-04-28 | 2023-06-05 | 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 | 2023-04-28 | 2023-06-05 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-04-28 | 2023-06-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-28 | 2023-06-05 | N |
Provide and implement an infection prevention and control program. | Health | 2023-04-28 | 2023-06-05 | 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 | 2023-04-28 | 2023-06-05 | N |
Ensure staff are vaccinated for COVID-19 | Health | 2023-04-28 | 2023-06-05 | N |
Establish staff and initial training requirements. | Fire Safety | 2023-04-28 | 2023-06-05 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-28 | 2023-06-05 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-28 | 2023-06-05 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-28 | 2023-06-05 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-04-28 | 2023-06-05 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-06 | 2023-03-06 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-16 | 2022-11-16 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-20 | 2022-06-15 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-30 | 2022-04-02 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-06 | 2021-05-06 | 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 | 2021-04-06 | 2021-05-06 | N |
Provide activities to meet all resident's needs. | Health | 2021-04-06 | 2021-05-06 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-04-06 | 2021-05-06 | 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 | 2021-04-06 | 2021-05-06 | 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 | 2021-04-06 | 2021-05-06 | 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 | 2021-04-06 | 2021-05-06 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-06 | 2021-05-06 | N |
Provide and implement an infection prevention and control program. | Health | 2021-04-06 | 2021-05-06 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-06 | 2021-05-06 | Y |
Respond appropriately to all alleged violations. | Health | 2021-04-06 | 2021-05-06 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-06 | 2021-05-06 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-06 | 2021-05-06 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-06 | 2021-05-06 | Y |
Use approved construction type or materials. | Fire Safety | 2021-04-06 | 2021-05-06 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-06 | 2021-05-06 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-06 | 2021-05-06 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-06 | 2021-05-06 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-06 | 2021-05-06 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-06 | 2021-05-06 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-06 | 2021-05-06 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-06 | 2021-05-06 | N |