Deficiency Records for Wexner Heritage House
Updated as of April 01, 2021
This is not the most recent data for Wexner Heritage House. For the most recent information, click here.
A list of the most recent deficiencies for Wexner Heritage House. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-11-30 | 2021-01-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-09 | 2021-01-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-11-04 | 2021-01-08 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-15 | 2019-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-15 | 2019-06-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-05-16 | 2019-06-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-05-16 | 2019-06-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-16 | 2019-06-21 | 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 | 2019-05-16 | 2019-06-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-16 | 2019-06-21 | 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 | 2019-05-16 | 2019-06-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-16 | 2019-06-21 | 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 | 2019-05-16 | 2019-06-21 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2019-05-16 | 2019-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-16 | 2019-06-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-04-12 | 2018-05-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-04-12 | 2018-05-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-04-12 | 2018-05-28 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-04-12 | 2018-05-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-12 | 2018-05-28 | 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 | 2017-06-28 | 2017-09-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-06-28 | 2017-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-28 | 2017-09-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-06-28 | 2017-09-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-06-28 | 2017-09-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-06-28 | 2017-09-15 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-06-28 | 2017-09-15 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-06-28 | 2017-09-15 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-06-28 | 2017-09-15 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-06-28 | 2017-09-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-28 | 2017-09-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-28 | 2017-09-15 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-06-28 | 2017-09-15 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-28 | 2017-09-15 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-06-28 | 2017-09-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-28 | 2017-09-15 | N |
| Dispose of garbage and refuse properly. | Health | 2017-06-28 | 2017-09-15 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-06-28 | 2017-09-15 | N |
