A list of the most recent deficiencies for Smithville Western 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2024-02-08 | 2024-02-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-22 | 2022-10-13 | 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 | 2022-03-24 | 2022-04-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-24 | 2022-04-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-24 | 2022-04-29 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-03-24 | 2022-04-29 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-03-24 | 2022-04-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-24 | 2022-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-24 | 2022-04-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-24 | 2022-04-29 | 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 | 2022-03-22 | 2022-04-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-03-22 | 2022-04-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-22 | 2022-04-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-22 | 2022-04-29 | 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 | 2021-03-25 | 2021-04-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-18 | 2019-05-10 | 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 | 2019-04-18 | 2019-05-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-04-18 | 2019-05-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-04-18 | 2019-05-10 | 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 | 2019-04-18 | 2019-05-10 | 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 | 2019-04-18 | 2019-05-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-18 | 2019-05-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-04-18 | 2019-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-18 | 2019-05-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-17 | 2019-05-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-04-17 | 2019-05-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-04-17 | 2019-05-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-17 | 2019-05-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-17 | 2019-05-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-17 | 2019-05-10 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2018-04-12 | 2018-05-08 | N |
| Provide activities to meet all resident's needs. | Health | 2018-04-12 | 2018-05-08 | 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 | 2018-04-12 | 2018-05-08 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-04-12 | 2018-05-08 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-04-10 | 2018-05-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-04-10 | 2018-05-08 | 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 | 2018-04-10 | 2018-05-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-04-10 | 2018-05-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-10 | 2018-05-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-10 | 2018-05-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-10 | 2018-05-08 | N |
