Deficiency Records for Stonebridge Westphalia
Updated as of May 01, 2022
This is not the most recent data for Stonebridge Westphalia. For the most recent information, click here.
A list of the most recent deficiencies for Stonebridge Westphalia. 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 and implement an infection prevention and control program. | Health | 2019-04-18 | 2019-05-24 | 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 | 2018-05-11 | 2018-07-19 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-05-11 | 2018-07-19 | 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 | 2018-05-11 | 2018-07-19 | 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 | 2018-05-11 | 2018-07-19 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-05-11 | 2018-07-19 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2018-05-11 | 2018-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-11 | 2018-06-19 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-05-11 | 2018-06-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-11 | 2018-06-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-11 | 2018-06-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-05-11 | 2018-06-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-11 | 2018-06-19 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-25 | 2017-07-01 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-05-25 | 2017-07-01 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-05-25 | 2017-07-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-05-25 | 2017-07-01 | N |
