Deficiency Records for Westfield Quality Care of Aurora
Updated as of March 01, 2021
This is not the most recent data for Westfield Quality Care of Aurora. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-05-29 | 2020-07-20 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-11-13 | 2020-01-17 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-11-13 | 2020-01-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-13 | 2020-01-17 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-13 | 2020-01-17 | Y |
| 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 | 2019-11-13 | 2020-01-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-13 | 2020-01-17 | Y |
| 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 | 2019-05-14 | 2019-08-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-14 | 2019-08-21 | 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 | 2019-05-14 | 2019-08-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-14 | 2019-08-21 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2019-05-14 | 2019-07-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-14 | 2019-07-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-14 | 2019-07-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-14 | 2019-07-16 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-05-14 | 2019-07-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-14 | 2019-07-16 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-05-14 | 2019-07-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-05-14 | 2019-07-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-14 | 2019-07-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-14 | 2019-07-16 | 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 | 2019-05-14 | 2019-07-16 | N |
| Dispose of garbage and refuse properly. | Health | 2019-05-14 | 2019-07-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-05-14 | 2019-07-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-05-14 | 2019-07-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-14 | 2019-07-16 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-05-14 | 2019-07-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-14 | 2019-07-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-14 | 2019-07-16 | Y |
| 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 | 2019-05-14 | 2019-07-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-05-14 | 2019-07-16 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-07 | 2019-06-24 | 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 | 2018-06-12 | 2018-07-16 | Y |
| 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 | 2018-01-25 | 2018-03-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-01-25 | 2018-03-01 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-01-25 | 2018-03-01 | 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 | 2018-01-25 | 2018-03-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-25 | 2018-03-01 | 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 | 2018-01-25 | 2018-03-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-01-25 | 2018-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-25 | 2018-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-25 | 2018-03-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-01-25 | 2018-03-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-01-25 | 2018-03-01 | N |
