Deficiency Records for Westchester Center For Rehabilitation and Nursing
Updated as of March 01, 2024
A list of the most recent deficiencies for Westchester Center For Rehabilitation and Nursing. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-12 | 2022-09-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-12 | 2022-09-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-12 | 2022-09-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-21 | 2022-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-21 | 2022-05-16 | 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 | 2022-03-21 | 2022-05-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-21 | 2022-05-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-21 | 2022-05-16 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-03-21 | 2022-05-16 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-21 | 2022-05-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-21 | 2022-05-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-21 | 2022-05-16 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-03-21 | 2022-05-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-21 | 2022-05-16 | Y |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2022-03-21 | 2022-05-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-21 | 2022-05-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-21 | 2022-05-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-03-21 | 2022-05-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-21 | 2022-05-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-21 | 2022-05-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-21 | 2022-05-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-21 | 2022-05-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-21 | 2022-05-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-21 | 2022-05-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-05 | 2021-05-31 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-07-17 | 2019-09-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-17 | 2019-09-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-17 | 2019-09-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-17 | 2019-09-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-17 | 2019-09-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-17 | 2019-09-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-17 | 2019-09-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-17 | 2019-09-13 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-07-17 | 2019-09-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-17 | 2019-09-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-17 | 2019-09-13 | 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 | 2019-07-17 | 2019-09-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-17 | 2019-09-13 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-07-17 | 2019-09-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-17 | 2019-09-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-17 | 2019-09-13 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2019-07-17 | 2019-09-13 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-07-17 | 2019-09-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-17 | 2019-09-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-17 | 2019-08-10 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-07-17 | 2019-08-10 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-10-25 | 2018-01-05 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-25 | 2017-12-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-25 | 2017-12-27 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-25 | 2017-12-27 | 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 | 2017-10-25 | 2017-12-24 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2017-10-25 | 2017-12-24 | 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 | 2017-10-25 | 2017-12-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-10-25 | 2017-12-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-10-25 | 2017-12-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-10-25 | 2017-12-24 | N |
