A list of the most recent deficiencies for Western Horizons Care 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-29 | 2023-10-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-29 | 2023-10-06 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-08-29 | 2023-10-06 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-08-29 | 2023-10-06 | 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 | 2023-08-29 | 2023-10-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-29 | 2023-10-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-29 | 2023-10-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-29 | 2023-10-06 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-08-29 | 2023-10-06 | N |
| Ensure that paid feeding assistants have the training they need. | Health | 2023-08-29 | 2023-10-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-21 | 2023-09-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-21 | 2023-09-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-01 | 2022-07-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-06-01 | 2022-07-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-01 | 2022-07-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-01 | 2022-07-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-01 | 2022-07-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-01 | 2022-07-16 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-05-18 | 2022-06-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-18 | 2022-06-10 | Y |
| 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 | 2022-05-18 | 2022-06-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-18 | 2022-06-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-20 | 2021-08-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-20 | 2021-08-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-20 | 2021-08-11 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-03-16 | 2021-04-29 | 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 | 2021-03-17 | 2021-04-21 | 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 | 2021-03-17 | 2021-04-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-17 | 2021-04-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-17 | 2021-04-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-17 | 2021-04-21 | 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 | 2021-03-17 | 2021-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-17 | 2021-04-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-03-17 | 2021-04-21 | N |
