A list of the most recent deficiencies for Wells Nursing Home Inc. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-27 | 2021-12-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-10-27 | 2021-12-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-10-27 | 2021-12-26 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-05-09 | 2019-07-18 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-05-09 | 2019-07-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-09 | 2019-07-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-09 | 2019-07-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-05-09 | 2019-07-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-09 | 2019-07-08 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-05-09 | 2019-07-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-09 | 2019-07-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-05-09 | 2019-07-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-09 | 2019-07-08 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2019-05-09 | 2019-07-08 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-05-09 | 2019-07-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-05-09 | 2019-07-08 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-05-09 | 2019-07-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-05-09 | 2019-07-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-05-09 | 2019-07-08 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-05-09 | 2019-07-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-05-09 | 2019-07-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-09 | 2019-07-08 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-05-09 | 2019-07-08 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-01-25 | 2018-04-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-01-25 | 2018-04-10 | 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 | 2018-01-25 | 2018-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-25 | 2018-04-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-01-25 | 2018-04-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-01-25 | 2018-04-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-01-25 | 2018-04-10 | 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 | 2018-01-25 | 2018-04-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-01-25 | 2018-04-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-25 | 2018-04-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-25 | 2018-04-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-25 | 2018-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-25 | 2018-04-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-01-25 | 2018-04-10 | N |
