A list of the most recent deficiencies for Westpark Healthcare Campus. 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? |
|---|---|---|---|---|
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-03-27 | 2023-05-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-27 | 2023-05-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-27 | 2023-05-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-27 | 2023-05-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-27 | 2023-05-12 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-22 | 2023-05-12 | 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 | 2023-03-22 | 2023-05-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-22 | 2023-05-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-22 | 2023-05-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-22 | 2023-05-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-22 | 2023-05-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-22 | 2023-05-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-22 | 2023-05-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-12 | 2023-02-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-08 | 2023-02-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-08 | 2023-02-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-21 | 2022-11-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-02 | 2022-05-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-04-02 | 2022-05-13 | 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 | 2022-01-24 | 2022-02-08 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-24 | 2022-02-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-07 | 2019-12-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-07 | 2019-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-07 | 2019-12-20 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-11-07 | 2019-12-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-07 | 2019-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-07 | 2019-12-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-07 | 2019-12-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-07 | 2019-12-20 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-11-07 | 2019-12-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-11-07 | 2019-12-20 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-11-07 | 2019-12-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-07 | 2019-12-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-07 | 2019-12-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-11-07 | 2019-12-13 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-11-07 | 2019-12-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-11-07 | 2019-12-13 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2018-10-02 | 2019-06-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-10-02 | 2019-01-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-10-02 | 2019-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-02 | 2019-01-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-03 | 2019-01-02 | 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 | 2018-10-03 | 2019-01-02 | N |
| Respond appropriately to all alleged violations. | Health | 2018-10-03 | 2019-01-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-03 | 2019-01-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-03 | 2019-01-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-03 | 2019-01-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-03 | 2019-01-02 | 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 | 2018-10-03 | 2019-01-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-03 | 2019-01-02 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2018-10-03 | 2019-01-02 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-10-03 | 2019-01-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-10-02 | 2019-01-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-10-02 | 2019-01-02 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-10-02 | 2019-01-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-10-02 | 2019-01-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-02 | 2019-01-02 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2018-10-02 | 2019-01-02 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-10-02 | 2019-01-02 | N |
