Deficiency Records for Westpark Healthcare Campus
Updated as of July 01, 2021
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? |
---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-02-17 | 2021-03-15 | Y |
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 | 2020-10-28 | 2020-12-09 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-10-28 | 2020-12-09 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-03-03 | 2020-04-06 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-03-03 | 2020-04-06 | Y |
Respond appropriately to all alleged violations. | Health | 2020-03-03 | 2020-04-06 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-03 | 2020-04-06 | Y |
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 other general requirements that are deficient. | Fire Safety | 2019-11-07 | 2019-12-20 | N |
Meet other general requirements that are deficient. | 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 |
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 |
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 | 2019-11-25 | 2019-12-20 | Y |
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 |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-17 | 2019-11-07 | Y |
Have proper power supply for life support equipment. | Fire Safety | 2018-10-02 | 2019-06-09 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-04-02 | 2019-06-09 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-02 | 2019-06-09 | Y |
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 |
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 |