A list of the most recent deficiencies for Wesley Health Care Center 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? |
|---|---|---|---|---|
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-08-11 | 2023-10-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-11 | 2023-04-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-15 | 2022-10-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-19 | 2022-07-08 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-19 | 2022-07-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-05 | 2021-11-30 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-10-05 | 2021-11-30 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-10-05 | 2021-11-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-10-05 | 2021-11-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-05 | 2021-11-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-10-05 | 2021-11-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-10-05 | 2021-11-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-18 | 2021-11-19 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-10-05 | 2021-11-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-05 | 2021-11-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-05 | 2021-11-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-17 | 2019-06-19 | N |
| Dispose of garbage and refuse properly. | Health | 2019-04-17 | 2019-06-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-17 | 2019-06-16 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-04-17 | 2019-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-17 | 2019-06-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-17 | 2019-06-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-17 | 2019-06-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-17 | 2019-06-16 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-04-17 | 2019-06-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-17 | 2019-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-17 | 2019-06-07 | 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 | 2019-04-17 | 2019-05-31 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-12 | 2017-08-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-12 | 2017-08-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-06-12 | 2017-08-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-06-12 | 2017-08-08 | N |
