A list of the most recent deficiencies for Westwood Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-30 | 2024-02-08 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-19 | 2023-11-01 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-09-19 | 2023-11-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-16 | 2023-09-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-16 | 2023-09-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-16 | 2023-09-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-16 | 2023-09-07 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-11-03 | 2022-11-29 | 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 | 2022-05-12 | 2022-05-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-12 | 2022-05-10 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-04-12 | 2022-05-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-12 | 2022-05-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-04-12 | 2022-05-10 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-04-12 | 2022-05-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-12 | 2022-05-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-12 | 2022-05-10 | 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 | 2022-04-12 | 2022-05-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-12 | 2022-05-10 | N |
| Post nurse staffing information every day. | Health | 2022-04-12 | 2022-05-10 | 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 | 2022-04-12 | 2022-05-10 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-04-12 | 2022-05-10 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-04-12 | 2022-05-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-12 | 2022-05-10 | Y |
| 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 | 2022-04-12 | 2022-05-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-12 | 2022-05-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-12 | 2022-05-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-12 | 2022-05-10 | Y |
| Provide appropriate foot care. | Health | 2022-04-12 | 2022-05-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-12 | 2022-05-10 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-04-12 | 2022-05-10 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-04-12 | 2022-05-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-12 | 2022-05-10 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-24 | 2020-03-19 | 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 | 2020-02-24 | 2020-03-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-24 | 2020-03-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-24 | 2020-03-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-24 | 2020-03-19 | 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 | 2020-02-24 | 2020-03-19 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-02-24 | 2020-03-19 | N |
| Provide or obtain dental services for each resident. | Health | 2020-02-24 | 2020-03-19 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-02-24 | 2020-03-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-02-24 | 2020-03-19 | N |
