Deficiency Records for Westpark Healthcare Campus
Updated as of May 01, 2019
This is not the most recent data for Westpark Healthcare Campus. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 other general requirements that are deficient. | 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 |
| 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 |
| 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 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-07-17 | 2018-08-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-07-17 | 2018-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-17 | 2018-08-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-06-27 | 2018-08-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-06-27 | 2018-08-25 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-06-27 | 2018-08-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2017-12-07 | 2017-12-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2017-12-07 | 2017-12-20 | Y |
| 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 | 2017-08-24 | 2017-10-12 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2017-08-24 | 2017-10-12 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-08-24 | 2017-10-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-08-24 | 2017-10-12 | 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 | 2017-08-24 | 2017-10-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-08-24 | 2017-10-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-08-24 | 2017-10-12 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-08-24 | 2017-10-12 | N |
| Dispose of garbage and refuse properly. | Health | 2017-08-24 | 2017-10-12 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-14 | 2017-02-24 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-14 | 2017-02-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-10-06 | 2016-10-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-06 | 2016-10-14 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Rooms that can be unlocked from inside without a key. | Fire Safety | 2016-05-19 | 2016-06-30 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-05-20 | 2016-06-30 | N |
| Maintain comfortable and safe temperature levels. | Health | 2016-05-20 | 2016-06-30 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-20 | 2016-06-30 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-05-20 | 2016-06-30 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-05-20 | 2016-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-20 | 2016-06-30 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2016-05-20 | 2016-06-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-05-20 | 2016-06-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-05-20 | 2016-06-30 | N |
