A list of the most recent deficiencies for Westfield Quality Care of Aurora. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-11 | 2023-05-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-11 | 2023-05-26 | N |
| Report COVID19 data to residents and families. | Health | 2023-04-11 | 2023-05-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-11 | 2023-05-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-11 | 2023-05-26 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-04-06 | 2023-05-04 | 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 | 2023-04-06 | 2023-05-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-06 | 2023-05-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-06 | 2023-05-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-06 | 2023-05-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-06 | 2023-05-04 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-04-06 | 2023-05-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-06 | 2023-05-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-06 | 2023-05-04 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-25 | 2022-08-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-24 | 2022-04-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-24 | 2022-04-25 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-01-03 | 2022-02-09 | 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 | 2022-01-03 | 2022-02-09 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-01-03 | 2022-02-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-03 | 2022-02-09 | N |
| Post nurse staffing information every day. | Health | 2022-01-03 | 2022-02-09 | 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 | 2022-01-03 | 2022-02-09 | 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 | 2022-01-03 | 2022-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-03 | 2022-02-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-01-03 | 2022-02-09 | 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 | 2022-01-03 | 2022-02-09 | 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 | 2021-12-28 | 2022-02-01 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-12-28 | 2022-02-01 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-12-28 | 2022-02-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-28 | 2022-02-01 | N |
| Meet other general requirements. | Fire Safety | 2020-09-21 | 2020-10-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-09-21 | 2020-10-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-09-22 | 2020-10-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-09-22 | 2020-10-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-09-22 | 2020-10-21 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-09-22 | 2020-10-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-09-22 | 2020-10-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-09-22 | 2020-10-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-09-22 | 2020-10-21 | 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 | 2020-09-22 | 2020-10-21 | 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 | 2020-09-22 | 2020-10-21 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2020-09-22 | 2020-10-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-22 | 2020-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-22 | 2020-10-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-09-22 | 2020-10-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-09-22 | 2020-10-21 | N |
