Deficiency Records for Westfield Quality Care of Aurora
Updated as of March 01, 2023
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? |
|---|---|---|---|---|
| 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 | Y |
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2020-05-29 | 2020-07-20 | Y |
| 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 | 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 | 2019-05-14 | 2019-08-21 | N |
| 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 | 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 |
| 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 |
| Ensure each resident receives an accurate assessment. | 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 |
| 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 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 |
| 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 | 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 |
| 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 | 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 |
| Provide and implement an infection prevention and control program. | 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 |
| Provide family notifications of emergency plan. | Fire Safety | 2019-05-14 | 2019-07-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-07 | 2019-06-24 | N |
| Meet other general requirements. | Fire Safety | 2019-05-07 | 2019-06-24 | 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 | 2019-05-07 | 2019-06-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-05-07 | 2019-06-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-07 | 2019-06-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-05-07 | 2019-06-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-07 | 2019-06-24 | N |
