Deficiency Records for Wellington Rehabilitation and Healthcare
Updated as of March 01, 2024
A list of the most recent deficiencies for Wellington Rehabilitation and Healthcare. 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? |
|---|---|---|---|---|
| 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 | 2024-01-26 | 2024-02-22 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-01-26 | 2024-02-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-26 | 2024-02-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-26 | 2024-02-22 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-01-26 | 2024-02-22 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-08-09 | 2023-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-09 | 2023-10-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-09 | 2023-10-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-09 | 2023-10-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-09 | 2023-10-25 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-07-12 | 2023-08-08 | Y |
| 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 | 2023-07-12 | 2023-08-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-24 | 2022-09-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-24 | 2022-09-21 | 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 | 2022-08-24 | 2022-09-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-24 | 2022-09-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-24 | 2022-09-21 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-29 | 2022-05-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-29 | 2022-04-28 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-29 | 2022-04-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-29 | 2022-04-25 | N |
| Dispose of garbage and refuse properly. | Health | 2022-03-29 | 2022-04-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-29 | 2022-04-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-29 | 2022-04-25 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-29 | 2022-04-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-29 | 2022-04-25 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-03-29 | 2022-04-25 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-03-29 | 2022-04-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-29 | 2022-04-25 | Y |
| Provide appropriate foot care. | Health | 2022-03-29 | 2022-04-25 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-29 | 2022-04-25 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-03-29 | 2022-04-25 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-03-29 | 2022-04-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-29 | 2022-04-25 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-29 | 2022-04-25 | 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 | 2019-10-21 | 2019-11-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-10-21 | 2019-11-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-21 | 2019-11-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-26 | 2019-10-24 | 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 | 2019-09-26 | 2019-10-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-26 | 2019-10-24 | 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 | 2019-09-26 | 2019-10-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-26 | 2019-10-24 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-09-26 | 2019-10-24 | N |
