Deficiency Records for Williamsbridge Center For Rehabilitation and Nrsg
Updated as of March 01, 2024
A list of the most recent deficiencies for Williamsbridge Center For Rehabilitation and Nrsg. 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? |
|---|---|---|---|---|
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-04-13 | 2022-05-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-13 | 2022-05-06 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-28 | 2021-11-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-28 | 2021-09-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-28 | 2021-09-03 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-05-28 | 2021-09-03 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-05-28 | 2021-09-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-28 | 2021-09-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-28 | 2021-09-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-28 | 2021-07-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-28 | 2021-07-17 | 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 | 2019-10-18 | 2019-11-25 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-10-18 | 2019-11-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-18 | 2019-11-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-28 | 2018-10-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-28 | 2018-10-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-28 | 2018-10-12 | 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 | 2018-08-28 | 2018-10-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-08-28 | 2018-10-12 | N |
| Provide or obtain dental services for each resident. | Health | 2018-08-28 | 2018-10-12 | 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 | 2018-08-28 | 2018-09-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-21 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-21 | Not Fixed | Y |
| 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 | 2023-06-21 | Not Fixed | Y |
