A list of the most recent deficiencies for Welcome Nursing Home. 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-24 | 2023-02-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-27 | 2022-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-27 | 2022-12-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-24 | 2022-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-24 | 2022-12-12 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-10-24 | 2022-12-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-24 | 2022-12-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-15 | 2021-07-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-06 | 2019-11-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-06 | 2019-11-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-06 | 2019-11-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-06 | 2019-11-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-04 | 2019-11-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-04 | 2019-11-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-04 | 2019-11-26 | 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 | 2018-09-13 | 2018-10-12 | 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 | 2018-09-13 | 2018-10-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-13 | 2018-10-12 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-09-13 | 2018-10-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-13 | 2018-10-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-13 | 2018-10-12 | 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 | 2018-09-13 | 2018-10-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-13 | 2018-10-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-10 | 2018-10-12 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-09-10 | 2018-10-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-09-10 | 2018-10-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-09-10 | 2018-10-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-10 | 2018-10-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-10 | 2018-10-12 | N |
