Deficiency Records for Warsaw Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Warsaw Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| 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 | 2023-05-03 | 2023-07-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-03 | 2023-07-17 | 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 | 2023-05-03 | 2023-07-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-03 | 2023-07-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-03 | 2023-07-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-03 | 2023-07-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-03 | 2023-07-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-03 | 2023-07-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-03 | 2023-07-17 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-03-23 | 2023-04-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-03-23 | 2023-04-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-23 | 2023-04-20 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-03-23 | 2023-04-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-23 | 2023-04-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-14 | 2022-10-06 | Y |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2022-04-28 | 2022-05-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-28 | 2022-05-05 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-12-10 | 2022-01-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-10 | 2022-01-07 | Y |
| 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 | 2019-07-30 | 2019-09-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-07-30 | 2019-09-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-30 | 2019-09-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-30 | 2019-09-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-30 | 2019-09-12 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-06-24 | 2019-07-16 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-06-24 | 2019-07-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-24 | 2019-07-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-24 | 2019-07-16 | 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 | 2019-06-24 | 2019-07-16 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-06-24 | 2019-07-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-24 | 2019-07-16 | N |
| Dispose of garbage and refuse properly. | Health | 2019-06-24 | 2019-07-16 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-06-24 | 2019-07-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-24 | 2019-07-16 | N |
