CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Complete Care at Westfield, LLC
View the most recent health deficiencies and inspection results for Complete Care at Westfield, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Westfield, LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-03-10 | 2025-04-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-03-10 | 2025-04-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-10 | 2025-04-11 | 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 | 2025-03-10 | 2025-04-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-03-10 | 2025-04-04 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-03-10 | 2025-04-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-10 | 2025-03-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-10 | 2025-03-28 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-03-10 | 2025-03-28 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-03-10 | 2025-03-21 | 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 | 2025-03-10 | 2025-03-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-03-10 | 2025-03-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-03-10 | 2025-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-10 | 2025-03-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-03-10 | 2025-03-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-03-10 | 2025-03-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-01-24 | 2025-02-07 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2025-01-24 | 2025-02-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-01-24 | 2025-02-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-01-24 | 2025-02-07 | Y |
| 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 | 2025-01-24 | 2025-02-07 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-02-13 | 2023-03-28 | 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 | 2023-02-13 | 2023-03-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-13 | 2023-03-21 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-02-13 | 2023-03-19 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-02-13 | 2023-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-13 | 2023-03-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-13 | 2023-03-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-02-13 | 2023-03-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-13 | 2023-03-08 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-13 | 2023-02-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-02-13 | 2023-02-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-02-13 | 2023-02-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-02-13 | 2023-02-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-13 | 2023-02-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-02-13 | 2023-02-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-13 | 2023-02-24 | 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 | 2023-02-13 | 2023-02-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-13 | 2023-02-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-13 | 2023-02-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-13 | 2023-02-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-13 | 2023-02-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-13 | 2023-02-15 | 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 | 2021-05-06 | 2021-06-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-06 | 2021-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-06 | 2021-05-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-06 | 2021-05-10 | N |